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Individual
MATTHEW LEWULLIS
Active
Individual
MATTHEW LEWULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS013072
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS013072
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
OS013072
PA
Other
Enumeration date
03/08/2007
Last updated
01/06/2017
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