Amanda L Lewis, PA-C Valid NPI
Individual provider · Physician Assistant · Monte Vista, CO
- NPI
- 1801997226
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 4185 (CO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-09-26
- Last updated
- 2016-08-08
Practice location
103 Chico Ct
Monte Vista, CO 81144-1065
(719) 852-9400