Provider Demographics
NPI:1467509760
Name:LEWIS, DAWNA E (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAWNA
Middle Name:E
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DAWNA
Other - Middle Name:E
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-280-8100
Mailing Address - Fax:402-280-8103
Practice Address - Street 1:555 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2136
Practice Address - Country:US
Practice Address - Phone:402-498-6540
Practice Address - Fax:402-498-6357
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE71231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1582825Medicaid
IA2582825Medicaid
IA2585547Medicaid
IA4582825Medicaid
IA3582825Medicaid
IA9582825Medicaid
IA7582825Medicaid
IA6582825Medicaid
IA0582825Medicaid
IA5582825Medicaid
IA3585547Medicaid
NE36822OtherBCBS BT
IA1585547Medicaid
NE36823OtherBCBS ENT
IA8582825Medicaid
IA0585547Medicaid
IA3585547Medicaid
IA2582825Medicaid