Individual
ANN S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1202 S 76TH ST, TACOMA, WA 98408-2907
(253) 571-4579
Mailing address
PO BOX 237, 3414 150TH AVE KPS, LAKEBAY, WA 98349-0237
(253) 884-5898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021602 CL00001234
WA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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