Individual
TRAVIS B LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2200
Mailing address
3400 SPRUCE ST, 2 W GATES, PHILADELPHIA, PA 19104-4206
(215) 662-2200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD460413
PA
Other
Enumeration date
05/15/2013
Last updated
10/31/2017
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