Individual
LINDA J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5655 WEST BLUFF RD, OLCOTT, NY 14126-0456
(716) 297-0798
(716) 297-0998
Mailing address
PO BOX 456, 5655 WEST BLUFF RD, OLCOTT, NY 14126-0456
(716) 297-0798
(716) 297-0998
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13167
STATE LICENSE
NY
Enumeration date
01/15/2014
Last updated
01/15/2014
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