Provider Demographics
NPI:1104233071
Name:LEW, DAVID J (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:LEW
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 31235
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-1235
Mailing Address - Country:US
Mailing Address - Phone:520-324-2303
Mailing Address - Fax:520-324-1406
Practice Address - Street 1:2424 N WYATT DR STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6119
Practice Address - Country:US
Practice Address - Phone:520-420-2270
Practice Address - Fax:520-420-2271
Is Sole Proprietor?:No
Enumeration Date:2014-07-12
Last Update Date:2023-09-22
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Provider Licenses
StateLicense IDTaxonomies
MI5101024452208600000X
AZ008450208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery