| Doctor Name: | JUDITH LEE LEWIS |
| NPI Number: | 1235195066 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | OP 00001398 |
| Business Practice Address: | 631 5th St Suite 200 Mukilteo, WA - 982751581 |
| Business Phone Number: | 4254389200 |
| Business Fax Number: | 4254389050 |
| Mailing Address: | 631 5th St, Suite 200 MUKILTEO |
| State: | WA |
| Postal Code: | 982751581 |
| Phone Number: | 4254389200 |
| Fax Number: | 4254389050 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | OP 00001398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |