Individual
DR. AMELIA C LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
1129 RISSER RD, MADISON, WI 53705-1321
(608) 238-9655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114491
—
OK
Enumeration date
02/06/2006
Last updated
07/08/2007
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