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Individual

YURI LEWICKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1485 N TURQUOISE DR, SUITE 200, FLAGSTAFF, AZ 86001-1398
(928) 774-7757
(928) 774-7767
Mailing address
1485 N TURQUOISE DRIVE, FLAGSTAFF, AZ 86001
(928) 774-4460
(928) 226-3071

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
33479
AZ

Other

Enumeration date
06/01/2005
Last updated
09/27/2017
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