Individual
CLAYTON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
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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