Individual
MS. STACIE J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320B CHARLES DIMMOCK PKWY, SUITE 4, COLONIAL HEIGHTS, VA 23834
(804) 520-5105
(804) 520-7745
Mailing address
320B CHARLES DIMMOCK PKWY, SUITE 4, COLONIAL HEIGHTS, VA 23834
(804) 520-5105
(804) 520-7745
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101002312
VA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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