Healthcare Provider Details

I. General information

NPI: 1588555627
Provider Name (Legal Business Name): LINDSEY LEWIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 W COLFAX AVE SUITE B-200
LAKEWOOD CO
80215
US

IV. Provider business mailing address

6956 W 87TH WAY APT 263
ARVADA CO
80003-1084
US

V. Phone/Fax

Practice location:
  • Phone: 303-993-1330
  • Fax:
Mailing address:
  • Phone: 720-545-6337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009289
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: