Alice-Gray Lewis, DO

NPI #1568953842 in Hometown, Illinois

Provider Information

NPI Number: 1568953842
Entity Type: Individual
Name: Alice-Gray Lewis, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 23, 2018
Last Updated: Feb 11, 2022

Practice Location

Address: 4140 SOUTHWEST HWY
City: Hometown
State: Illinois
ZIP Code: 60456-1135
Phone: (708) 422-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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