Individual
MARY SHARDAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
683 OLD MILL RD, MILLERSVILLE, MD 21108-1326
(410) 729-2200
Mailing address
703 DAWN PL APT C, LANTANA, FL 33462-1615
(954) 939-9196
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U03140
MD
Other
Enumeration date
09/20/2024
Last updated
09/21/2024
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