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

TaxonomyCodeLicense
Specialist Primary 174400000X56 (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.