Mark Lewis

NPI #1720466196 in Lebanon, Oregon

Provider Information

NPI Number: 1720466196
Entity Type: Individual
Name: Mark Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2015
Last Updated: May 18, 2015

Practice Location

Address: 1300 E GRANT ST STE 100
City: Lebanon
State: Oregon
ZIP Code: 97355-9539
Phone: (541) 258-8222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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