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DANA MARIE LEWIS D.O. INC NPI 1124124250


NPI Information

NPI: 1124124250
Provider Name: DANA MARIE LEWIS, D.O., INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
10052 ALTA SIERRA DR
SUITE A
GRASS VALLEY, CA
ZIP 95949
Phone: (530) 477-9100
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DANA MARIE LEWIS, D.O., INC is a general practice in Grass Valley, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DANA MARIE LEWIS, D.O., INC NPI is 1124124250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10052 ALTA SIERRA DR
SUITE A
GRASS VALLEY, CA
ZIP 95949-886
Phone: (530) 477-9100
Fax: (530) 477-2033

The provider's authorized official is Dana Marie Lewis .
The authorized official title is Business Owner and has the following contact phone number (530) 477-9100.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice20A7088CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100AX70880MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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