Individual
BRAD L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
225 KEYSTONE AVE, CRESSON, PA 16630-1214
(814) 886-2911
(814) 886-2911
Mailing address
529 KEYSTONE AVE, CRESSON, PA 16630-1330
(814) 935-7279
(814) 886-5470
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003125L
PA
Other
Enumeration date
06/04/2009
Last updated
03/17/2018
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