Individual
DR. MATTHEW DAVID LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20817 HIGHWAY 266, ROCKY FORD, CO 81067
(719) 254-3532
Mailing address
PO BOX 481, LA JUNTA, CO 81050
(719) 469-9220
(719) 384-6511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33928
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86951556
—
CO
Enumeration date
09/05/2006
Last updated
03/07/2023
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