Individual
MR. LEWIS MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 EASTGATE PLZ, WACO, TX 76705-2868
(254) 412-2667
Mailing address
185 EASTGATE PLZ, WACO, TX 76705-2868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72447
TX
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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