Sierra, Lewis A

Sierra, Lewis A is an individual health care provider with primary practice located at 145 N Main St , Fond Du Lac WI 54935-3423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sierra, Lewis A can be contacted via phone (920) 926-8492.

Contact Information

Primary practice address
145 N Main St Fond Du Lac WI 54935-3423
Phone: (920) 926-8492
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26876 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26876 Wisconsin

Profile Details

NPI number 1346222023
LBN Legal business name Sierra, Lewis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Apr 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346222023 NPPES
West Virginia Other 13288 DEAN
West Virginia Other 930118899 DEAN
West Virginia MEDICAID 30649400 DEAN

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