Individual
DARCY J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
631 W MAIN ST, BUFFALO, MO 65622-7496
(417) 345-1378
Mailing address
631 W MAIN ST, BUFFALO, MO 65622-7496
(417) 345-1378
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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