Individual
MR. ALEX SAMUEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-8515
Mailing address
1215 W RUFFNER ST, SEATTLE, WA 98119-1344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00057992
WA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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