Individual
RAYBURN S. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 16TH AVE STE 100, SEATTLE, WA 98122-5636
(206) 320-2484
(206) 320-4568
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-2484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00018354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197904
—
WA
Enumeration date
10/25/2006
Last updated
02/17/2009
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