Lewton, Diane

Lewton, Diane is an individual health care provider with primary practice located at 7916 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewton, Diane can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7916 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 432-2297
Fax: (260) 434-6420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000599 Indiana

Profile Details

NPI number 1518926443
LBN Legal business name Lewton, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated May 31st, 2011 - about 13 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 1518926443 NPPES
Other 500016270 RAILROAD
MEDICAID 2463892 RAILROAD
Other LENP15741 RAILROAD
MEDICAID 200321230 RAILROAD
Other LENP15742 RAILROAD
Other 000000291182 RAILROAD

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