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Individual

MR. BRUCE DONALD LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
10210 REISTERSTOWN RD, OWINGS MILLS, MD 21117-3606
(410) 902-6776
Mailing address
1005 STARBOARD CT, EDGEWOOD, MD 21040-1340
(410) 612-2178

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002016
MD

Other

Enumeration date
12/06/2006
Last updated
08/05/2025
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