Provider Demographics
NPI:1841491529
Name:LEWIS, KATRINA (MD)
Entity type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3130 SADDLE DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8644
Mailing Address - Country:US
Mailing Address - Phone:406-858-6227
Mailing Address - Fax:406-751-8269
Practice Address - Street 1:1601 2ND AVE N STE 450B
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3259
Practice Address - Country:US
Practice Address - Phone:406-781-5220
Practice Address - Fax:406-453-1534
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT44392207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology