Provider Demographics
NPI:1700874765
Name:LEWIS, STUART ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ALAN
Last Name:LEWIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4999 E KENTUCKY AVE
Mailing Address - Street 2:#202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3901
Mailing Address - Country:US
Mailing Address - Phone:303-691-2228
Mailing Address - Fax:303-759-9052
Practice Address - Street 1:4999 E KENTUCKY AVE
Practice Address - Street 2:#202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3901
Practice Address - Country:US
Practice Address - Phone:303-691-2228
Practice Address - Fax:303-759-9052
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2013-01-28
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Provider Licenses
StateLicense IDTaxonomies
CO23270207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO180043830OtherMEDICARE ID
CO01232701Medicaid
D24247Medicare UPIN
COC450558Medicare PIN