Organization
DENNIS M. LEWIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS M LEWIS MD (CEO)
(307) 857-5220
Entity
Organization
Contact information
Practice address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5220
(307) 857-5215
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5220
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5754A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120966300
—
WY
Enumeration date
06/17/2006
Last updated
12/10/2012
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