Individual
TIFFANY CHRISTINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Mailing address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2015027345
MO
2085R0202X
Diagnostic Radiology Physician
A-2171-18
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86639323
—
NM
05
—
928556
—
AZ
Enumeration date
07/22/2009
Last updated
04/23/2025
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