Individual
MR. LARRY LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
9380 VANCOUVER RD, SPRING HILL, FL 34608-6566
(352) 688-3157
Mailing address
9380 VANCOUVER RD, SPRING HILL, FL 34608-6566
(352) 688-3157
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
6905956
FL
Other
Enumeration date
04/25/2006
Last updated
07/09/2007
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