Whalio Doctors

NPI 1164633715

Stasha S Lewis, MD

Practitioner Pediatrics Physician Riverton, UT

Practice location

Address
3723 W 12600 S STE 150, Riverton, UT 84065-7296
Phone
(801) 285-4561
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties (3)

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 10122609-1205 (UT)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M6258 (TX)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 51747 (MN)

Registry record

NPI
1164633715
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 May 2007
Record last updated
19 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.