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Individual

DANA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
919 CORDER RD APT 44, WARNER ROBINS, GA 31088-7176
(478) 420-1499
(855) 450-1224
Mailing address
1412A RUSSELL PKWY # 237, WARNER ROBINS, GA 31088-5583
(478) 420-1499
(855) 450-1224

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
05/18/2017
Last updated
05/18/2017
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