Individual
LEBRA N LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9121 MARION OAKS DR, CHARLOTTE, NC 28215-2262
(704) 299-8433
Mailing address
9121 MARION OAKS DR, CHARLOTTE, NC 28215-2262
(704) 299-8433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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