Individual
DR. MARION STEWART LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3615 S FLORIDA AVE, LAKELAND, FL 33803-4876
(863) 940-2091
(863) 940-4764
Mailing address
3615 S FLORIDA AVE, LAKELAND, FL 33803-4876
(863) 940-2091
(863) 940-4764
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078905400
—
FL
Enumeration date
06/06/2006
Last updated
02/07/2022
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