Lee Lewis, Dara K

Lee Lewis, Dara K is an individual health care provider with primary practice located at 21 Longwood Ave , Brookline MA 02446-5239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Lee Lewis, Dara K can be contacted via phone (617) 732-1318.

Contact Information

Primary practice address
21 Longwood Ave Brookline MA 02446-5239
Fax: (617) 734-5763
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20020342 New Mexico

Profile Details

NPI number 1578692018
LBN Legal business name Lee Lewis, Dara K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated May 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578692018 NPPES
New Mexico MEDICAID 35722517

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