Lewis, Diana Patricia
Lewis, Diana Patricia is an individual health care provider with primary practice located at 629 Avenue D , Snohomish WA 98290-2330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Diana Patricia can be contacted via phone (360) 568-1554.Contact Information
Primary practice address
629 Avenue D
Snohomish WA 98290-2330
Phone: (360) 568-1554
Fax: (360) 568-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00046221 | Washington |
Profile Details
| NPI number | 1477524619 |
|---|---|
| LBN Legal business name | Lewis, Diana Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Oct 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477524619 | NPPES |
| Washington | Other | 8860986 | MEDICARE |
| Washington | MEDICAID | 8472193 | MEDICARE |
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