Individual
MRS. ALEXANDRA LOPEZ LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
401 W LANTANA RD, SUITE #4, LANTANA, FL 33462-1725
(561) 588-0015
(561) 586-9048
Mailing address
401 W LANTANA RD, SUITE #4, LANTANA, FL 33462-1725
(561) 588-0015
(561) 586-9048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291213900
—
FL
Enumeration date
09/12/2005
Last updated
07/27/2009
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