Individual
NANCY P LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2300 MENAUL NE, ALBUQUERQUE, NM 87107
(505) 272-4296
Mailing address
4039 ANDERSON AVE SE, ALBUQUERQUE, NM 87108-4308
(505) 272-4296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4724
NM
Other
Enumeration date
09/18/2012
Last updated
10/16/2012
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