DR. Mallory Diane Lewis, DO

NPI #1588192520 in Pace, Florida

Provider Information

NPI Number: 1588192520
Entity Type: Individual
Name: DR. Mallory Diane Lewis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 2, 2017
Last Updated: Sep 13, 2021

Practice Location

Address: 3754 HIGHWAY 90 STE 300
City: Pace
State: Florida
ZIP Code: 32571-1098
Phone: (850) 416-5510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Family Medicine	207Q00000X	Primary

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