Individual
CAROL S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12271 US HIGHWAY 301 N, 301, PARRISH, FL 34219-8410
(941) 776-4000
(941) 776-4010
Mailing address
PO BOX 499, PARRISH, FL 34219-0499
(941) 776-4000
(941) 776-4010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2303
AZ
363A00000X
Physician Assistant
Primary
PA9104822
FL
Other
Enumeration date
03/07/2006
Last updated
03/29/2010
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