Individual
SANDEE K LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1035 ROSE LN, RIVERTON, WY 82501-2291
(307) 857-6685
(307) 857-9927
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15065.0882
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124167200
—
WY
Enumeration date
02/06/2007
Last updated
01/08/2021
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