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1538132196

NPI Code Detail

MEDICARE: STEPHANIE A LEW CRNA

MEDICARE: STEPHANIE A LEW CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	R16540	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	201005821	OTHER	NM	PRESBYTERIAN HP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	10002239	OTHER	NM	LOVELACE HP
7	NM006484	OTHER	NM	BCBS

General Provider Information

NPI Number	:	1538132196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE A LEW CRNA

Provider Business Mailing Address
First Line	:	1515 E 20TH ST
Second Line	:	SUITE A
City	:	FARMINGTON
State	:	NM
Zip	:	87401-9039
Country	:	US
Telephone Number	:	505-326-6400
Fax Number	:	505-326-4606

Provider Business Practice Location Address
First Line	:	801 W MAPLE ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-5630
Country	:	US
Telephone Number	:	505-326-6400
Fax Number	:	505-326-4606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	05/23/2008

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Directions to “ STEPHANIE A LEW CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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