Provider Demographics
NPI:1679037139
Name:LEWIS, CATHERINE KATURA (MPA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:KATURA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 CRUGER AVE APT 6J
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2387
Mailing Address - Country:US
Mailing Address - Phone:917-804-4059
Mailing Address - Fax:
Practice Address - Street 1:2081 CRUGER AVE APT 6J
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2387
Practice Address - Country:US
Practice Address - Phone:917-804-4059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker