Individual
DONNA CORBETT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3938 JFK PKWY, FORT COLLINS, CO 80525-3086
(970) 581-8619
Mailing address
3938 JFK PKWY, FORT COLLINS, CO 80525-3086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7295
CO
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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