Samantha J Lewis
Dermatologist Nurse Practitioner
777 Bannock St
Denver
, Colorado 80204-4507
Samantha J Lewis
Dermatologist Nurse Practitioner
777 Bannock St
Denver
, Colorado 80204-4507
(800) 243-1455
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About
Features
Specialties
- Dermatologist
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Samantha J Lewis
- Po Box 858 Mc A410
- Hershey, PA
- Zip : 17033-0858
- Phone : (800) 243-1455
Second Address
- Samantha J Lewis
- 777 Bannock St
- Denver, CO
- Zip : 80204-4507
- Phone : (303) 602-6196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | F06171769 | NE |
| Y | 363L00000X | Nurse Practitioner | SP018545 | PA |
National Provider Identifier
| NPI | 1013429513 |
|---|---|
| Provider Name | Samantha J Lewis |
| First Address | Hershey, PA 17033-0858 |
| Second Address | Denver, CO 80204-4507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2017 |
| Last Update Date | 24/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.