Individual
BROOKE W LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
905 ALPINE AVE, BOULDER, CO 80304-3305
(303) 569-8560
(970) 665-5652
Mailing address
PO BOX 7065, LOVELAND, CO 80537-0065
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1216
CO
Other
Enumeration date
10/04/2006
Last updated
11/05/2020
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