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Individual

DR. JOSHUA ORR LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1951 S WHITE MOUNTAIN RD, SUITE 1001, SHOW LOW, AZ 85901-7322
(928) 535-6667
(928) 535-5561
Mailing address
PO BOX 969, OVERGAARD, AZ 85933-0969
(928) 535-6667
(928) 535-5561

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002533
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
903521
AZ
Enumeration date
06/28/2013
Last updated
07/11/2014
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