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Individual

DR. THOMAS E LEWIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8104 S 96TH ST, SUITE 1, LAVISTA, NE 68128-3187
(402) 339-2141
(402) 592-5505
Mailing address
8104 S 96TH ST, SUITE 1, LAVISTA, NE 68128-3187
(402) 339-2141
(402) 592-5505

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6132
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91186246-00
NE
Enumeration date
10/31/2005
Last updated
07/08/2007
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