Dr. Jay Patrick Lewis, DPM
Podiatrist, Foot & Ankle Surgery in Albuquerque, NM. Individual provider (NPI-1).
NPI number1013532811
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1013532811
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Patrick Lewis
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2020
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | POD2024-0001 | NM | Yes |
Practice location
8300 Constitution Ave Ne Bldg DAlbuquerque, NM 87110
Phone 505-253-6100
Mailing address
Po Box 26666Phs Provider Enrollment
Albuquerque, NM 87125-6666
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