Individual
CHERYL LYNN LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6014
Mailing address
440 SHADY WOOD LN, HAUGHTON, LA 71037-8949
(318) 424-6014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4760
LA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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