Arizona
Board of Licensing
Lancelot Dale Lewis PA
Physician Assistant
License number
1952
Date granted
12/11/1996
Class
Physician Assistant
Status
Active
Address
Chinle Comprehensive Healthcare Facility, Hospital Drive Off Highwy 191, Chinle AZ 86503
arizonalicensing.com
ID 22753665
LAST UPDATED 2026-06-02 11:26:40 UTC
LAST UPDATED 2026-06-02 11:26:40 UTC