Mary Theresa Ann Lewis
Otolaryngologist (ENT Doctor)
1650 Cochrane Cir
Colorado Springs
, Colorado 80913-4613
Mary Theresa Ann Lewis
Otolaryngologist (ENT Doctor)
1650 Cochrane Cir
Colorado Springs
, Colorado 80913-4613
(719) 524-6399
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Mary Theresa Ann Lewis
- 1650 Cochrane Cir
- Colorado Springs, CO
- Zip : 80913-4613
- Phone : (719) 524-6399
Second Address
- Mary Theresa Ann Lewis
- 1650 Cochrane Cir
- Colorado Springs, CO
- Zip : 80913-4613
- Phone : (719) 524-6399
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | DR0059589 | CO |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD450120 | PA |
National Provider Identifier
| NPI | 1023215969 |
|---|---|
| Provider Name | Mary Theresa Ann Lewis |
| First Address | Colorado Springs, CO 80913-4613 |
| Second Address | Colorado Springs, CO 80913-4613 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2007 |
| Last Update Date | 14/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.