Individual
JOHN HARRISON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-0447
(303) 441-0536
Mailing address
8050 NIWOT RD, #32, LONGMONT, CO 80503-8639
(303) 652-0524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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