Individual
DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
116 W MINNESOTA AVE, MCCLOUD, CA 96057
(530) 964-2389
Mailing address
2221 CENTER RD, NOVATO, CA 94947-2056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
525260
CA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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