Individual
DR. LARRY VICTOR LEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13309 SE 84TH AVE STE 100, CLACKAMAS, OR 97015-6922
(971) 673-8218
(971) 673-8321
Mailing address
13309 SE 84TH AVE STE 100, CLACKAMAS, OR 97015-6922
(971) 673-8218
(971) 673-8321
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
34470
WA
207ZP0101X
Anatomic Pathology Physician
Primary
7776
OR
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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