Individual
LEWIS C WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13102 E MISSION AVE, SPOKANE VALLEY, WA 99216-2710
(509) 928-0300
(509) 922-9241
Mailing address
13102 E MISSION AVE, SPOKANE VALLEY, WA 99216-2710
(509) 928-0300
(509) 922-9241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8199820
—
WA
Enumeration date
07/05/2005
Last updated
04/28/2021
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