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Individual

TIMOTHY M LEWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11552 SHERIDAN BLVD, WESTMINSTER, CO 80020-3302
(303) 469-6000
(303) 469-2922
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 463-5600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39800
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98174363
CO
Enumeration date
04/26/2006
Last updated
12/02/2024
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