Provider Demographics
NPI:1801961107
Name:LEWIS, AARON PRESTON (PA - C)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:PRESTON
Last Name:LEWIS
Suffix:
Gender:M
Credentials:PA - C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40128
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-0128
Mailing Address - Country:US
Mailing Address - Phone:720-277-9290
Mailing Address - Fax:877-319-1589
Practice Address - Street 1:2479 S CLERMONT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6588
Practice Address - Country:US
Practice Address - Phone:973-661-8300
Practice Address - Fax:973-661-8333
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2021-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA-2362363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COQ74369Medicare UPIN
COC809710Medicare PIN