Individual
VERNICE LUEVINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11525 HIGHWAY ONE, SOUTH HILL, VA 23970
(804) 586-8115
Mailing address
11525 HIGHWAY ONE, SOUTH HILL, VA 23970-5061
(804) 586-8115
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T69521324
VA
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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