Lewis, Dana Marie

Lewis, Dana Marie is an individual health care provider with primary practice located at 7705 Seville Ave Ste B , Huntington Park CA 90255-6570. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lewis, Dana Marie can be contacted via phone (562) 354-5847.

Contact Information

Primary practice address
7705 Seville Ave Ste B Huntington Park CA 90255-6570
Phone: (562) 354-5847
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 100716 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53354 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7088 California

Profile Details

NPI number 1396717013
LBN Legal business name Lewis, Dana Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 23rd, 2024 - about last year

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 1396717013 NPPES
California MEDICAID 00AX70880
California MEDICAID 46401873

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