Individual provider · Type 1 NPI
Paul Yosepa Lewis, C.PED, L.PED.
Specialist · Broken Arrow, OK
NPI number
1770615312
Active
Practice location
1605A S Main St
Broken Arrow, OK 74012-5604
Fax (918) 258-0207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 56 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1770615312
Paul Yosepa Lewis, C.PED, L.PED.'s National Provider Identifier is 1770615312, issued on Mar 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 8, 2007.