NPI 1235522293
Gary Lewis, ATC
Practice location
- Address
- 21000 Education CT, Ashburn, VA 20148
- Phone
- (571) 442-3631
- Mailing address
- 7506 Hancock St, Bealeton, VA 22712-5677
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1235522293
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Mar 2015
- Record last updated
- 17 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.