Lewis, Joan P

Lewis, Joan P is an sole proprietor health care provider with primary practice located at 5065 Corrales Rd , Corrales NM 87048-8629. She recently has 2 registered licenses in different health care specialties including Group / Groups of Doctors / Multi-Specialty, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Lewis, Joan P can be contacted via phone (505) 404-8154.

Contact Information

Primary practice address
5065 Corrales Rd Corrales NM 87048-8629
Phone: (505) 404-8154
Fax: (505) 919-7061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Group / Groups of Doctors / Multi-Specialty 193200000X 94-300 New Mexico
Allopathic & Osteopathic Physicians / General Practice 208D00000X 94-300 New Mexico

Profile Details

NPI number 1538203856
LBN Legal business name Lewis, Joan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Nov 5th, 2020 - about 6 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 1538203856 NPPES
New Mexico MEDICAID 00021906

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