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NPI Code Detail

MEDICARE: KEVIN S LEWIS MD

MEDICARE: KEVIN S LEWIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician17850AZ

General Provider Information

NPI Number : 1720299720
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN S LEWIS MD
Provider Business Mailing Address
First Line : 1001 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1215
Country : US
Telephone Number : 520-323-7133
Fax Number : 520-323-8252
Provider Business Practice Location Address
First Line : 1001 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1215
Country : US
Telephone Number : 520-323-7133
Fax Number : 520-323-8252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ KEVIN S LEWIS MD” Practice Location

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