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General NPI Number Information
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NPI Number | 1790751360
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Entity Type | Individual
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Provider Name | MATTHEW RICHARD LEWIS MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 2230 S FRASER ST UNIT 1
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City | AURORA
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State | CO
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Zip | 80014-4535
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Country | US
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Telephone | 303-341-4200
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Fax | 303-341-4200
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 719-463-5600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35534
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License Number State | CO
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