Individual provider · Type 1 NPI

Cody W. Lewis, PA-C

Medical Physician Assistant · Farmington, NM

NPI number 1972859403 Active

Practice location

2300 E 30th St Bldg D Ste 101
Farmington, NM 87401

Fax (505) 564-3202

Other practice locations

  • 5600 Eubank Blvd NE Ste 110, Albuquerque, NM 87111 · (505) 880-1920
  • 1001 W Broadway, Farmington, NM 87401 · (505) 327-4796
  • 1001 W Broadway, Farmington, NM 87401 · (505) 327-4796

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA60796883 (WA)
Medical Physician Assistant Primary 363AM0700XPA2012-0021 (NM)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1972859403

Cody W. Lewis, PA-C's National Provider Identifier is 1972859403, issued on Aug 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, NM. The record was last updated on Jan 18, 2021.