Individual
MARY M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCCA
Contact information
Practice address
1010 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 729-0077
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 729-0077
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1999136547
MO
Other
Enumeration date
07/27/2006
Last updated
03/17/2025
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