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Individual

DR. DUSTIN LEON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
355 LINHART AVE. NE, NAPAVINE, WA 98570-0329
(360) 266-8800
(360) 266-8700
Mailing address
3214 50TH STREET CT NW, SUITE 204, GIG HARBOR, WA 98335-8589
(253) 858-9783

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034759
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8869330
MEDICARE PTAN
WA
Enumeration date
05/21/2007
Last updated
09/08/2015
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