Groda-Lewis, Mary Louise
Groda-Lewis, Mary Louise is an individual health care provider with primary practice located at 1322 3Rd St Se Ste 240, Puyallup WA 98372-3771. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Groda-Lewis, Mary Louise can be contacted via phone (253) 697-5757.Contact Information
Primary practice address
1322 3Rd St Se Ste 240
Puyallup WA 98372-3771
Phone: (253) 697-5757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38085 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00038716 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00038716 | Washington |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00038716 | Washington |
Profile Details
| NPI number | 1598719825 |
|---|---|
| LBN Legal business name | Groda-Lewis, Mary Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Nov 1st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598719825 | NPPES |
| Iowa | Other | P00677919 | RR MEDICARE |
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