Lewark, Susan
Lewark, Susan is an individual health care provider with primary practice located at 1202 Us Highway 60 West Socorro General Hospital, Socorro NM 87801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewark, Susan can be contacted via phone (575) 835-1140.Contact Information
Primary practice address
1202 Us Highway 60 West Socorro General Hospital
Socorro NM 87801
Phone: (575) 835-1140
Fax: (575) 835-8716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R15125 | New Mexico |
Profile Details
| NPI number | 1710988431 |
|---|---|
| LBN Legal business name | Lewark, Susan |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Aug 15th, 2008 - about 17 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 | 1710988431 | NPPES |
| New Mexico | MEDICAID | 000R9177 |
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