Individual
JOANN LAVIDA THOMAS-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 W OAK ST STE 201, KISSIMMEE, FL 34741-4998
(407) 518-3347
Mailing address
720 W OAK ST STE 201, KISSIMMEE, FL 34741-4998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA12162200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
04/22/2025
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