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1013532811
JAY PATRICK LEWIS
ALBUQUERQUE, NM
NPI
1013532811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NM POD2024-0001)
Enumeration Date
2020-06-08
Last Update Date
2024-10-07
Business Address
Dr. JAY PATRICK LEWIS DPM
8300 CONSTITUTION AVE NE BLDG D
ALBUQUERQUE, NM 87110
Phone number: 505-253-6100
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Mailing Address
Dr. JAY PATRICK LEWIS DPM
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number:
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