Individual
MRS. LISA M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 250, MARIETTA, GA 30068-4428
(770) 971-3376
Mailing address
4800 OLDE TOWNE PKWY STE 250, MARIETTA, GA 30068-4428
(770) 971-3376
(770) 578-8567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4105
GA
Other
Enumeration date
06/09/2006
Last updated
04/30/2020
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