Individual
LATONYA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 S BRYANT AVE, APT134, DEL CITY, OK 73115-1705
(405) 488-5980
Mailing address
3324 S BRYANT AVE, APT 134, DEL CITY, OK 73115-1705
(405) 488-5980
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
P999031615
OK
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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