| NPI | 1790963866 |
|---|---|
| Other Name | MARK LEWIS |
| Entity Type | Organization |
| Authorized Contact | MATT ROTH Office Manager 425-277-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO00000660) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2021-07-28 |