Dede B Lewis P.T.

NPI 1023123627 - Specialist - 174400000X

NPI Details
NPI 1023123627
Gender Female
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2295 FOOTHILL DR
SALT LAKE CITY UT, 84109-4000, US
Phone (801) 486-7542
Fax
Business Location
2295 FOOTHILL DR
SALT LAKE CITY UT, 84109-4000, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Utah
License Number 114238-2401
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According to our database, Dede B Lewis P.T. NPI is 1023123627, taxonomy code is 174400000X and license number is 114238-2401, license state is located at Utah. Dede B Lewis P.T. physically located at 2295 Foothill Dr, Salt Lake City UT, 84109-4000. NPI Number Dede B Lewis P.T. has the Individual type.

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1023123627 NPI number is provided on an as is basis without warranty of any kind. 1023123627 is maintained by the National Plan & Provider Enumeration System. The contents of Dede B Lewis P.T. are for informational purposes only.