| Dana Marie Lewis, D.o., Inc | |
|
10052 Alta Sierra Dr Suite A Grass Valley CA 95949-6886 | |
| (530) 477-9100 | |
| (530) 477-2033 |
| Full Name | Dana Marie Lewis, D.o., Inc |
|---|---|
| Speciality | General Practice |
| Location | 10052 Alta Sierra Dr, Grass Valley, California |
| Authorized Official Name and Position | Dana Marie Lewis (BUSINESS OWNER) |
| Authorized Official Contact | 5304779100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Marie Lewis, D.o., Inc 10052 Alta Sierra Dr Suite A Grass Valley CA 95949-6886 Ph: (530) 477-9100 | Dana Marie Lewis, D.o., Inc 10052 Alta Sierra Dr Suite A Grass Valley CA 95949-6886 Ph: (530) 477-9100 |
| NPI Number | 1124124250 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124124250 | NPI | - | NPPES |
| 00AX70880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A7088 (California) | Primary |
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