Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | DR.0058328 | CO |
N | 208600000X | Surgeon | DR.0058328 | CO |
N | 2086X0206X | Surgical Oncologist | 11084A | WY |
Y | 2086X0206X | Surgical Oncologist | DR.0058328 | CO |
NPI | 1255593851 |
---|---|
Provider Name | Dr. Heather Lynn Lewis |
First Address | Fort Collins, CO 80528-3403 |
Second Address | Fort Collins, CO 80528-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 17/03/2018 |