Provider Demographics
NPI:1063435188
Name:LEWIS, GARY DIN AUMAN (DO)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:DIN AUMAN
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 GALWAY CT
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9164
Mailing Address - Country:US
Mailing Address - Phone:717-583-0397
Mailing Address - Fax:
Practice Address - Street 1:1181 GALWAY CT
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-9164
Practice Address - Country:US
Practice Address - Phone:717-583-0397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 002522 L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology