Individual
MR. MATTHEW J. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 878-7699
Mailing address
815 2ND ST SE, LITTLE FALLS, MN 56345-3505
(320) 632-5441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
179
MN
367500000X
Certified Registered Nurse Anesthetist
APRN11045767
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
R1161207
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685325100
—
MN
Enumeration date
07/26/2006
Last updated
04/30/2026
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