Individual
DR. LELA I LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1014 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1812
(404) 753-3339
(404) 753-3338
Mailing address
371 ANGIER CT NE, ATLANTA, GA 30312-1068
(404) 438-2296
(404) 733-0819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00263645D
—
GA
Enumeration date
12/11/2006
Last updated
07/08/2007
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