GIAVONNI MYSTIQUE LEWIS

SALT LAKE CITY, UT
NPI1528222775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
(Licence: UT  8365805-1205)
Additional Taxonomies208600000X Surgery
(Licence: UT  8365805-1205)
Enumeration Date2008-07-16
Last Update Date2021-11-18
Business Address
Dr. GIAVONNI MYSTIQUE LEWIS M.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0100
Phone number: 801-581-8990
Mailing Address
Dr. GIAVONNI MYSTIQUE LEWIS M.D.
PO BOX 413035
SALT LAKE CITY, UT 84141-3035
Phone number: 801-213-3900