Individual
KEITH M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2559 WIGWAM PARKWAY, HENDERSON, NV 89074-6230
(702) 982-3659
(702) 549-0377
Mailing address
2559 WIGWAM PARKWAY, HENDERSON, NV 89074-6230
(702) 985-6044
(702) 897-2896
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24927
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
7205
NV
2085R0202X
Diagnostic Radiology Physician
G76499
CA
Other
Enumeration date
01/10/2006
Last updated
10/29/2011
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