Giavonni Mystique Lewis in Salt Lake City - Surgical Critical Care
Giavonni Mystique Lewis - NPI 1528222775
Giavonni Mystique Lewis is a Surgical Critical Care in Salt Lake City, Utah. Giavonni Mystique Lewis practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Giavonni Mystique Lewis is 1528222775. The last update date is 2021-11-18.
Giavonni Mystique Lewis's current location address is 50 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8015818990 and fax number 8015856005. The mailing address for Giavonni Mystique Lewis is 50 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Giavonni Mystique Lewis |
|---|---|
| Address | 50 N Medical Dr, Salt Lake City, Utah |
| Phone Number | 8015818990 |
| Fax Number | 8015856005 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528222775 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 50 N Medical Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841320100 |
| Phone Number | 8015818990 |
| Fax Number | 8015856005 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | 8365805-1205 |
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Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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What is the unique 10-digit identification code assigned to Giavonni Mystique Lewis by the Centers for Medicare & Medicaid Services?
The Giavonni Mystique Lewis has been issued the NPI (National Provider Identifier) 1528222775, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Giavonni Mystique Lewis's facilities are geographically located?
The facilities of Giavonni Mystique Lewis are physically situated at the following location: 50 N Medical Dr, Salt Lake City, UT, 841320100.
What is Giavonni Mystique Lewis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Giavonni Mystique Lewis's specialized field of practice is Surgical Critical Care, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0102X.
On what date did Giavonni Mystique Lewis receive its 1528222775 assignment from the Centers for Medicare & Medicaid Services?
The Giavonni Mystique Lewis was assigned its 1528222775 on 2008-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Giavonni Mystique Lewis most recently updated?
The details pertaining to the Giavonni Mystique Lewis, including its address, specialty, and other relevant information, were last refreshed on 2021-11-18.