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Individual

RAMONICA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
950 HIGHWAY 80 E, CLINTON, MS 39056-5203
(601) 924-7882
(601) 924-7883
Mailing address
126 DEVLIN SPRINGS DR, MADISON, MS 39110-6549
(601) 278-1445

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
703
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00237390
MS
Enumeration date
09/28/2006
Last updated
07/08/2007
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