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Individual

CLAYTON LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2222 N NEVADA AVE STE 5017, COLORADO SPRINGS, CO 80907-6865
(719) 776-6810
(719) 776-6820
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 524-4166
(719) 524-4183

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0059462
CO
208D00000X
General Practice Physician
01072163A
IN

Other

Enumeration date
06/20/2011
Last updated
05/20/2024
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