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Individual

NATHAN DONALD LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
758 STOCKTON RD, WALLINGFORD, KY 41093-8650
(606) 876-2167
Mailing address
125 N. MAIN CROSS ST., LOUISA, KY 41230
(606) 876-2167

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY

Other

Enumeration date
02/09/2018
Last updated
02/09/2018
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