Individual
DR. TODD J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2230 N UNIVERSITY PKWY, PROVO, UT 84604-1509
(801) 373-4550
(801) 373-8634
Mailing address
2230 N UNIVERSITY PKWY, PROVO, UT 84604-1594
(801) 373-4550
(801) 373-8634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
374753
UT
Other
Enumeration date
03/24/2006
Last updated
10/30/2008
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