Individual
TAMMY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 BATH AVE, ASHLAND, KY 41101-2696
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(160) 632-9858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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