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NPI Code Detail

MEDICARE: BARRY LEWIS

MEDICARE:   BARRY  LEWIS
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
1225400000XRehabilitation PractitionerNV

General Provider Information

NPI Number : 1831450196
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY LEWIS
Provider Business Mailing Address
First Line : 800 N RAINBOW BLVD
Second Line : SUITE 148
City : LAS VEGAS
State : NV
Zip : 89107-1189
Country : US
Telephone Number : 702-778-8922
Fax Number :
Provider Business Practice Location Address
First Line : 7730 W SAHARA AVE STE 115
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2753
Country : US
Telephone Number : 702-878-2424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 01/13/2022

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Directions to “ BARRY LEWIS ” Practice Location

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