Healthcare Provider Details

I. General information

NPI: 1508201500
Provider Name (Legal Business Name): LISA MARIE LEWIS BHCMII, FPRSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ALAMEDA ST
NORMAN OK
73071-5229
US

IV. Provider business mailing address

128 S PETERS AVE
NORMAN OK
73069-6034
US

V. Phone/Fax

Practice location:
  • Phone: 405-371-0323
  • Fax:
Mailing address:
  • Phone: 405-701-8163
  • Fax: 405-310-3739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: