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Individual
MR. LARRY CHARLES LEWIS
Active
Individual
MR. LARRY CHARLES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000172719
TN
163W00000X
Registered Nurse
Primary
RN372910
OH
163W00000X
Registered Nurse
RN9286493
FL
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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