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NPI Code Detail

MEDICARE: ABIGAIL LEWIS

MEDICARE: ABIGAIL LEWIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744P3200XProsthetics Case Management

General Provider Information

NPI Number : 1639009913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL LEWIS
Provider Business Mailing Address
First Line : 2101 ELM ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-2417
Country : US
Telephone Number : 701-239-3700
Fax Number :
Provider Business Practice Location Address
First Line : 2101 ELM ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-2417
Country : US
Telephone Number : 701-239-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ ABIGAIL LEWIS ” Practice Location

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