IndividualActive
Cody Lewis, PA-C
NPI 1972859403 · Medical Physician Assistant · Farmington, NM
Provider details
- NPI number
- 1972859403
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA60796883 (WA)
Practice location
2300 E 30th St Bldg D Ste 101
Farmington, NM 87401
Phone: (505) 327-1400
Fax: (505) 564-3202
Mailing address
2300 E 30th St Bldg D Ste 101
Farmington, NM 87401
Registry dates
- Enumerated
- 2012-08-02
- Last updated
- 2021-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.