Individual
MARK THOMAS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4300 TALBOT RD S, SUITE 102, RENTON, WA 98055-6238
(425) 277-3668
(425) 277-0732
Mailing address
4300 TALBOT RD S, SUITE 102, RENTON, WA 98055-6238
(425) 277-3668
(425) 277-0732
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156352
DEPT OF L&I NUMBER
WA
05
—
7110729
—
WA
Enumeration date
07/12/2005
Last updated
07/28/2021
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