Individual
NANCY SUE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
12101 LIMA RD, FORT WAYNE, IN 46818-8903
(260) 637-3166
Mailing address
15223 LIONS PSGE, LEO, IN 46765-9594
(260) 627-8252
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001897
IN
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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