Individual
IAN J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7219 N LITCHFIELD RD, GLENDALE, AZ 85309-1529
(623) 856-7579
(623) 856-4433
Mailing address
6900 ALDEN DR, CHEYENNE, WY 82005-3906
(307) 773-2998
(307) 773-4721
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1352
NE
2084P0800X
Psychiatry Physician
Primary
CDRH.0000079
CO
Other
Enumeration date
05/28/2013
Last updated
07/25/2023
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