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Individual

DR. E. WINTER LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2450 NE MARY ROSE PL, SUITE 110, BEND, OR 97701-7132
(541) 318-8388
(541) 318-7145
Mailing address
2450 NE MARY ROSE PL, SUITE 110, BEND, OR 97701-7132
(541) 318-8388
(541) 318-7145

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2786ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228967
OR
Enumeration date
07/05/2006
Last updated
10/07/2024
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