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Dr. Joan P Lewis, MD
General Practice Physician in Corrales, New Mexico
NPI 1538203856

Joan P Lewis is a General Practice Physician based in Corrales, NM. Joan P Lewis practices in Corrales, NM and has the professional credentials of MD. The NPI Number for Joan P Lewis is 1538203856 and holds a License No. 94-300 (New Mexico).

The current practice location address for Joan P Lewis is 5065 Corrales Rd, Corrales, NM and can be reached out via phone at 505-404-8154 and via fax at 505-919-7061.

Location: 5065 Corrales Rd, Corrales, NM, 87048-2480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538203856
Provider Name
Joan P Lewis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5065 Corrales Rd, Corrales, NM, 87048-2480
Phone Number
505-404-8154
Fax Number
505-919-7061
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00021906 05 NM
institution
Provider Business Practice Location Address Details
Address
5065 Corrales Rd
City
Corrales
State
New Mexico
Zip
87048-8629
Phone Number
505-404-8154
Fax Number
505-919-7061
person
Provider Business Mailing Address Details
Address
5065 Corrales Rd
City
Corrales
State
New Mexico
Zip
87048-8629
Phone Number
505-404-8154
Fax Number
505-919-7061
person
Provider's Taxonomy Details 1
Type
Group
Classification
Multi-Specialty
Speciality
-
Taxonomy
193200000X
License No.
94-300 (New Mexico)
Definition
A business group of one or more individual practitioners, who practice with different areas of specialization.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
94-300 (New Mexico)
Definition
Definition to come...
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