Individual
MADELEINE MICHELE LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SEVILLE RD, HURRICANE, WV 25526-9206
(304) 757-6805
Mailing address
663 MCCORKLE RD, SOD, WV 25564-9771
(304) 578-2943
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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