Lewis, Gina R

Lewis, Gina R is an individual health care provider with primary practice located at 1300 E Center St Utah State Hospital, Provo UT 84606-3554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Lewis, Gina R can be contacted via phone (801) 344-4400.

Contact Information

Primary practice address
1300 E Center St Utah State Hospital Provo UT 84606-3554
Fax: (801) 344-4225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 3639681205 Utah

Profile Details

NPI number 1144266321
LBN Legal business name Lewis, Gina R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 28th, 2020 - about 4 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 1144266321 NPPES
Utah MEDICAID D5600

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