MR. Lancelot D. Lewis, PA

NPI #1598880676 in Chinle, Arizona

Provider Information

NPI Number: 1598880676
Entity Type: Individual
Name: MR. Lancelot D. Lewis, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 20, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: OFF HWY 191 HOSPITAL ROAD
City: Chinle
State: Arizona
ZIP Code: 86503
Phone: (928) 674-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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