Individual
CORY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
1344 LEVIS ST NE, WASHINGTON, DC 20002-2925
(346) 760-9724
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14382
CT
390200000X
Student in an Organized Health Care Education/Training Program
14382
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2025
Last updated
06/03/2025
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