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1912038878
LEWIS E. INGRAM
SACRAMENTO, CA
NPI
1912038878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA RN521167, NP16665)
Enumeration Date
2007-03-09
Last Update Date
2008-01-09
Business Address
-- LEWIS E. INGRAM FNP
4501 X ST SUITE 3016
SACRAMENTO, CA 95817-2229
Phone number: 916-734-3771
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Mailing Address
-- LEWIS E. INGRAM FNP
4710 DEA WAY
FAIR OAKS, CA 95628-5500
Phone number:
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