Provider Demographics
NPI:1609854694
Name:LEWTON, BRIAN N (ATC)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:N
Last Name:LEWTON
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:200 BLAKESLEE ST
Mailing Address - Street 2:#199
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-6338
Mailing Address - Country:US
Mailing Address - Phone:860-584-8155
Mailing Address - Fax:
Practice Address - Street 1:270 FARMINGTON AVE
Practice Address - Street 2:SUITE 174
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1909
Practice Address - Country:US
Practice Address - Phone:860-677-6067
Practice Address - Fax:860-674-1095
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2013-09-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer