Individual
MR. LEWIS WILLIAM BAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3810
(505) 461-7234
(505) 461-7231
Mailing address
1002 S 1ST ST, TUCUMCARI, NM 88401-3219
(505) 461-4128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
854
NM
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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