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Individual

PAUL ROBERT LEWIS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
BLDG 50, FARENHOLT AVENUE, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(671) 344-9340

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02004300A
IN
2086S0127X
Trauma Surgery Physician
DO3193
NV

Other

Enumeration date
04/19/2012
Last updated
01/29/2025
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