Individual
ANDREW WAYNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6583
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND AFB, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
01071033A
IN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
4301104475
MI
Other
Enumeration date
03/01/2010
Last updated
04/20/2018
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