Individual
MISS LAUREN EMILY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 BERRY RD, BONNE TERRE, MO 63628-3580
(573) 431-3300
Mailing address
300 BERRY RD, BONNE TERRE, MO 63628-3580
(573) 431-3300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020025474
MO
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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