Individual
KEVIN S LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 N SWAN RD, TUCSON, AZ 85711-1215
(520) 323-7133
(520) 323-8252
Mailing address
1001 N SWAN RD, TUCSON, AZ 85711-1215
(520) 323-7133
(520) 323-8252
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17850
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0894370
BCBS AZ
AZ
Enumeration date
05/24/2007
Last updated
07/08/2007
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