Individual
DR. ANDREA DAWN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
Mailing address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0006839
CO
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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