Provider Demographics
NPI:1285918433
Name:LEWIS, CHRISTA M (DO)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:M
Last Name:LEWIS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:5501 W BETHEL AVE
Mailing Address - Street 2:RCS PROVIDER ENROLLMENT
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-8513
Mailing Address - Country:US
Mailing Address - Phone:765-286-3900
Mailing Address - Fax:762-286-3915
Practice Address - Street 1:INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC
Practice Address - Street 2:5501 W BETHEL AVE
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-8513
Practice Address - Country:US
Practice Address - Phone:765-286-3900
Practice Address - Fax:765-286-3915
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2021-05-14
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Provider Licenses
StateLicense IDTaxonomies
IN02006340A207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology