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Individual
LATISHIA LEWIS
Active
Individual
LATISHIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-154936-M-IV
OH
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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