Amanda L Lewis, PA-C

NPI #1801997226 in Monte Vista, Colorado

Provider Information

NPI Number: 1801997226
Entity Type: Individual
Name: Amanda L Lewis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 26, 2006
Last Updated: Aug 8, 2016

Practice Location

Address: 103 CHICO CT
City: Monte Vista
State: Colorado
ZIP Code: 81144-1065
Phone: (719) 852-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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