Provider Demographics
NPI:1003293408
Name:LEWIS, MAKENZIE (DO)
Entity type:Individual
Prefix:
First Name:MAKENZIE
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2600 CAMPUS DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3358
Mailing Address - Country:US
Mailing Address - Phone:303-673-1900
Mailing Address - Fax:303-673-1915
Practice Address - Street 1:2600 CAMPUS DR STE A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3358
Practice Address - Country:US
Practice Address - Phone:303-673-1900
Practice Address - Fax:303-673-1915
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR0058864207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine