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General NPI Number Information
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NPI Number | 1043119555
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Entity Type | Individual
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Provider Name | MICHELE LEWIS
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Gender |
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2460 TOWNCREST DR STE 2
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City | IOWA CITY
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State | IA
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Zip | 52240-6643
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Country | US
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Telephone | 319-337-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 199 6TH ST APT 17
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City | CORALVILLE
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State | IA
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Zip | 52241-2500
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Country | US
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Telephone | 319-530-4408
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G195189
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License Number State | IA
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