Individual
MR. BENJAMIN LEWIS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
2121 S MILL AVE STE 223, TEMPE, AZ 85282-2138
(813) 310-3569
Mailing address
2220 W DORA ST APT 203, MESA, AZ 85201-6045
(813) 310-3569
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-010013
AZ
Other
Enumeration date
06/25/2019
Last updated
09/25/2023
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