Individual
MS. LISA LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
515 S BRANCIFORTE AVE, SANTA CRUZ, CA 95062-3326
(831) 423-3274
(831) 423-3274
Mailing address
515 S BRANCIFORTE AVE, SANTA CRUZ, CA 95062-3326
(831) 423-3274
(831) 423-3274
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 6396
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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