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Individual

DR. TERRY J LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 PROVIDENCE DR, SUITE 207, ANCHORAGE, AK 99508-4616
(907) 561-0005
Mailing address
18512 S KANAGA LOOP, EAGLE RIVER, AK 99577-8675
(907) 830-9557

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4750
AK

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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