Lewis, Petra J

Lewis, Petra J is an individual health care provider with primary practice located at 1 Medical Center Dr Department Of Radiology, Lebanon NH 03756-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as her primary health care specialty. Lewis, Petra J can be contacted via phone (603) 650-4477.

Contact Information

Primary practice address
1 Medical Center Dr Department Of Radiology Lebanon NH 03756-1000
Phone: (603) 650-4477
Fax: (603) 650-5455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 9004 New Hampshire

Profile Details

NPI number 1598780405
LBN Legal business name Lewis, Petra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 16th, 2007 - about 17 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 1598780405 NPPES
New Hampshire MEDICAID 80003828
New Hampshire MEDICAID 0RE3828

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