IAN J LEWIS

GLENDALE, AZ
NPI1194162453
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CO  CDRH.0000079)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NE  1352)
Enumeration Date2013-05-28
Last Update Date2023-07-25
Business Address
IAN J LEWIS D.O.
7219 N LITCHFIELD RD
GLENDALE, AZ 85309-1529
Phone number: 623-856-7579
Mailing Address
IAN J LEWIS D.O.
6900 ALDEN DR
CHEYENNE, WY 82005-3906
Phone number: 307-773-2998