CLAYTON COOPER LEWIS

ROCKFORD, IL
NPI1619449972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085007004)
Enumeration Date2018-12-27
Last Update Date2023-10-26
Business Address
CLAYTON COOPER LEWIS PA-C
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
Mailing Address
CLAYTON COOPER LEWIS PA-C
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number:
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