Individual
DILAN ARCHIBALD LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
680 E 350 N, PROVO, UT 84606-3310
(253) 264-9296
Mailing address
680 E 350 N, PROVO, UT 84606-3310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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