Individual
MR. GARY L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11625 TETON RD, OKLAHOMA CITY, OK 73162-1538
(405) 721-3755
Mailing address
11625 TETON RD, OKLAHOMA CITY, OK 73162-1538
(405) 721-3755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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