Individual
DEEDRA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
Mailing address
16309 WHITEHOUSE RD, WINSLOW, AR 72959-8070
(806) 316-9211
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
115910
AR
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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