Provider Information for 1669722385
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Mr. DAVID L. LEWIS LPC
Sex: Male
NPI: 1669722385
Last Updated: 2012-09-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1669722385 | ||||||||||||
| Enumeration Date | 2012-09-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2475 N. JACKRABBIT AVE TUCSON, AZ 85745 United States Phone: 520-882-5608 | Fax:520-617-0209 | ||||||||||||
| Primary Practice Address | 1779 W. ST. MARY'S RD TUCSON, AZ 85745 United States Phone: 520-620-6615 | Fax:520-620-5045 | ||||||||||||
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