Individual
COREY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10002 CATALINA DR, JOHNSTON, IA 50131-3102
(515) 943-0122
Mailing address
10002 CATALINA DR, JOHNSTON, IA 50131-3102
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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