Individual
RANDY ALLEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14701 NATIONAL HWY SW, LAVALE, MD 21502-6573
(301) 687-0940
(301) 687-0948
Mailing address
14701 NATIONAL HWY SW, LAVALE, MD 21502-6573
(301) 687-0940
(301) 687-0948
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP55952
MD
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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