Stasha S Lewis MD

NPI 1164633715 - Pediatrics - 208000000X

NPI Details
NPI 1164633715
Gender Female
Enumeration Date 05/25/2007
Last Updated 05/21/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
400 AUSTIN ST
RICHMOND TX, 77469-4406, US
Phone (281) 342-4530
Fax
Business Location
701 FAIRVIEW BLVD
PO BOX 95
RED WING MN, 55066-2848, US
Phone (651) 267-5500
Fax
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 51747
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According to our database, Dr. Stasha S Lewis MD NPI is 1164633715, taxonomy code is 208000000X and license number is 51747, license state is located at Minnesota. Stasha S Lewis MD physically located at 400 Austin St, Richmond TX, 77469-4406. NPI Number Stasha S Lewis MD has the Individual type.

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1164633715 NPI number is provided on an as is basis without warranty of any kind. 1164633715 is maintained by the National Plan & Provider Enumeration System. The contents of Stasha S Lewis MD are for informational purposes only.