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Individual

LINDSAY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 30342-1626
(770) 292-3460
(404) 300-2317
Mailing address
980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 30342-1626
(770) 292-3460
(404) 300-2317

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007560
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003160422A
GA
05
003160422C
GA
05
003160422D
GA
Enumeration date
05/11/2015
Last updated
02/02/2017
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