Healthcare Provider Details

I. General information

NPI: 1235100660
Provider Name (Legal Business Name): CYNTHIA M LEWIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 CHANCELLORS AVE
KEARNEY NE
68845-2053
US

IV. Provider business mailing address

2232 CHANCELLORS AVE
KEARNEY NE
68845-2053
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-2303
  • Fax: 308-865-2304
Mailing address:
  • Phone: 308-865-2303
  • Fax: 308-865-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number18931
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: