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NPI Code Detail

MEDICARE: ADRIANNA ELIZABETH LEWIS

MEDICARE: ADRIANNA ELIZABETH 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437586831
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNA ELIZABETH LEWIS
Provider Business Mailing Address
First Line : 2931 PROSPECT AVE
Second Line :
City : CONCORD
State : CA
Zip : 94518-1025
Country : US
Telephone Number : 925-676-4840
Fax Number : 925-676-1315
Provider Business Practice Location Address
First Line : 2931 PROSPECT AVE
Second Line :
City : CONCORD
State : CA
Zip : 94518-1025
Country : US
Telephone Number : 925-676-4840
Fax Number : 925-676-1315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2013
Last Update Date : 09/30/2013

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Directions to “ ADRIANNA ELIZABETH LEWIS ” Practice Location

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