Individual
CARLA JOAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 BRIDGE ST, MANCHESTER, KY 40962-1266
(606) 598-0576
Mailing address
PO BOX 1153, MANCHESTER, KY 40962-4153
(606) 598-0576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
949
KENTUCKY'S EARLY INTERVENTION SYSTEM FIRST STEPS
KY
Enumeration date
06/20/2008
Last updated
06/20/2008
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