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CLAYTON COOPER LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007004
IL
363A00000X
Physician Assistant
8372-23
WI

Other

Enumeration date
12/27/2018
Last updated
05/02/2025
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