Individual
DR. MEGAN EWING-LEWIS GROTEFEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4820 E MAIN ST, FARMINGTON, NM 87402
(505) 609-6495
(505) 324-0504
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42313
CO
207Q00000X
Family Medicine Physician
Primary
98-315
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00328384
RAILROAD MEDICARE
CO
Enumeration date
12/11/2006
Last updated
03/24/2025
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