Individual
LISA DARLENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 5TH ST, SAINT CLOUD, FL 34769-2024
(407) 892-5700
(407) 593-2932
Mailing address
3800 5TH ST, SAINT CLOUD, FL 34769-2024
(407) 892-5700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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