Lewis, Stasha S

Lewis, Stasha S is an individual health care provider with primary practice located at 3723 W 12600 S Ste 150 , Riverton UT 84065-7296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lewis, Stasha S can be contacted via phone (801) 285-4561.

Contact Information

Primary practice address
3723 W 12600 S Ste 150 Riverton UT 84065-7296
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M6258 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51747 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10122609-1205 Utah

Profile Details

NPI number 1164633715
LBN Legal business name Lewis, Stasha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jan 19th, 2017 - about 7 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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