Individual
MR. PHILIP WAYNE LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
(253) 620-5831
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
(253) 620-5831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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