Individual
SHAUNA MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
540 E 43RD ST, BROOKLYN, NY 11203-5716
(917) 608-8013
(718) 629-2427
Mailing address
540 EAST 43RD ST, BROOKLYN, NY 11203
(917) 608-8013
(718) 629-2427
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005983
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560525
—
NY
Enumeration date
01/26/2006
Last updated
04/14/2008
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