Individual
ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 398-5170
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2510
NE
Other
Enumeration date
12/03/2015
Last updated
04/13/2021
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