Individual
JON RICHARD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, RPFT
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
233 E POND RD, NOBLEBORO, ME 04555-9527
(207) 563-6016
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
TH861
ME
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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