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Individual

DR. GEORGE KENNETH LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
56 QUARRY RD, TRUMBULL, CT 06611-4874
(888) 202-9831
(888) 202-9831
Mailing address
158 PINEWOOD TRL, TRUMBULL, CT 06611-3313
(978) 604-1246

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
01/07/2019
Last updated
01/07/2019
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