Lewis, Dana Marie
Lewis, Dana Marie is an individual health care provider with primary practice located at 7705 Seville Ave Ste B , Huntington Park CA 90255-6570. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lewis, Dana Marie can be contacted via phone (562) 354-5847.Contact Information
Primary practice address
7705 Seville Ave Ste B
Huntington Park CA 90255-6570
Phone: (562) 354-5847
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 100716 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53354 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A7088 | California |
Profile Details
| NPI number | 1396717013 |
|---|---|
| LBN Legal business name | Lewis, Dana Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Apr 23rd, 2024 - about 2 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 | 1396717013 | NPPES |
| California | MEDICAID | 00AX70880 | |
| California | MEDICAID | 46401873 |
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