NPI 1760923726

Marcus Lewis

Practitioner Prevention Professional Mesa, AZ

Practice location

Address: 1550 E University Dr Suite G, Mesa, AZ 85203-8136
Phone: (602) 369-3497
Fax: (480) 921-4115

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 81-5054569 (AZ)

Other Prevention Professional providers in Arizona →

Registry record

NPI: 1760923726
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2017
Record last updated: 10 Mar 2017

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.