Individual
DANIEL LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1550 PULSAR DR, COLORADO SPRINGS, CO 80916-4503
(719) 632-4455
Mailing address
1550 PULSAR DR, COLORADO SPRINGS, CO 80916-4503
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
75907
GA
207Q00000X
Family Medicine Physician
Primary
DR.0073633
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/19/2014
Last updated
07/20/2025
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