Individual
DR. DOROTHY OTNOW LEWIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 YORK ST, NEW HAVEN, CT 06511-5620
(203) 624-3933
(203) 752-1807
Mailing address
10 SAINT RONAN TER, NEW HAVEN, CT 06511-2315
(203) 776-4265
(203) 752-1807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12319
CT
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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