Diana Louise Lewis, N.P.
Nurse Practitioner, Family in Ocate, NM. Individual provider (NPI-1).
NPI number1043201056
StatusActive
Last updated in NPPESJun 27, 2011
Details
- NPI
- 1043201056
- Entity type
- Individual (NPI-1)
- Name
- Diana Louise Lewis
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2005
- Last updated
- Jun 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R24775 | NM | Yes |
Other names
- Diana Louise Lewis (Professional Name)
Practice location
Nm State Highway 120,Mile Marker 12.5
Ocate, NM 87734
Phone 505-666-2475
Mailing address
Nm Highway 120 @mile Marker 12.5, South Side Of HighwayP.O. Box 203
Ocate, NM 87734
Phone 505-666-2475
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