Lewis, Candice Nelson

Lewis, Candice Nelson is an individual health care provider with primary practice located at 1845 W. Orange Grove Building 2, Tucson AZ 85704. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Lewis, Candice Nelson can be contacted via phone (520) 531-8967.

Contact Information

Primary practice address
1845 W. Orange Grove Building 2 Tucson AZ 85704
Phone: (520) 531-8967
Fax: (520) 742-7180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35595 Arizona
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35595 Arizona

Profile Details

NPI number 1043234040
LBN Legal business name Lewis, Candice Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 17th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043234040 NPPES
Arizona MEDICAID 111737

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