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Individual
LISA LEWIS
Active
Individual
LISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010109
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP010109
SPEECH LANGUAGE PATHOLOGIST
GA
Enumeration date
07/31/2017
Last updated
06/17/2018
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