Individual
TIM LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 S 300 W STE 101, SALT LAKE CITY, UT 84101-1289
(801) 990-9488
Mailing address
155 S 300 W STE 101, SALT LAKE CITY, UT 84101-1289
(801) 990-9488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
03/03/2020
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