Basic Information
| Provider Information | |||||||||
| NPI: | 1346442753 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEWIS | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1233 N 30TH ST | ||||||||
| Address2: | EMERGENCY DEPARTMENT | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591010127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062374116 | ||||||||
| FaxNumber: | 4062374125 | ||||||||
| Practice Location | |||||||||
| Address1: | 1233 N 30TH ST | ||||||||
| Address2: | EMERGENCY DEPARTMENT | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591010127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062374116 | ||||||||
| FaxNumber: | 4062374125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 11386 | MT | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.