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Individual

DR. MARIA F LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A88691
CA
208M00000X
Hospitalist Physician
Primary
A88691
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A886910
BLUE SHIELD
CA
05
00A886910
CA
01
P00745237
MEDICARE RAILROAD
CA
Enumeration date
06/27/2006
Last updated
10/06/2009
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