Provider Demographics
NPI:1306721063
Name:LEWIN, CONNOR (DC)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:
Last Name:LEWIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 CAPTIVA CV
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9770
Mailing Address - Country:US
Mailing Address - Phone:815-978-8466
Mailing Address - Fax:
Practice Address - Street 1:118 CENTRAL PARK PL
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6632
Practice Address - Country:US
Practice Address - Phone:407-243-8251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor