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Individual

DR. LEWIS ALBERT ANDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
40126
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
4301080203
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
338585
AZ
01
P00623664
RAILROAD MEDICARE
AZ
Enumeration date
04/09/2007
Last updated
08/10/2023
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