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General NPI Number Information
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NPI Number | 1255860797
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Entity Type | Individual
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Provider Name | LILLIAN K LEWARS CNM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 1 RESEARCH RD
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City | RIDGE
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State | NY
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Zip | 11961-2701
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Country | US
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Telephone | 631-751-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 23 RADCLIFF DR
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City | BRENTWOOD
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State | NY
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Zip | 11717-7606
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Country | US
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Telephone | 347-455-6574
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 002281
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License Number State | NY
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