Individual
MR. JOHN L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
875 WEST MORENO AVE, COLORADO SPRINGS, CO 80905
(719) 572-6200
(719) 572-6299
Mailing address
8615 RIDGELYS CHOICE DR STE 212, BALTIMORE, MD 21236
(410) 529-2151
(410) 527-1342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
07153
MD
1041C0700X
Clinical Social Worker
Primary
1650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KL86
BCBS
MD
Enumeration date
12/08/2006
Last updated
02/01/2011
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