Individual
MELISSA RAMISO LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
19739 BURTON DR, CLATSKANIE, OR 97016-8000
(808) 304-7019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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