Individual
DEIGHTON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
409 ROOSEVELT TRL, WINDHAM, ME 04062-4821
(207) 400-8600
Mailing address
409 ROOSEVELT TRL, WINDHAM, ME 04062-4821
(207) 400-8600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2100
ME
Other
Enumeration date
05/01/2019
Last updated
06/13/2023
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