James T Lewallen

NPI #1649298597 in Madison, Wisconsin

Provider Information

NPI Number: 1649298597
Entity Type: Individual
Name: James T Lewallen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 HIGHLAND AVE
Address 2: COMPLIANCE MAIL CODE-2433
City: Madison
State: Wisconsin
ZIP Code: 53792-0001
Phone: (608) 662-0817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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