Individual
LANCE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Mailing address
421 SIERRA DR, LAWRENCE, KS 66049-2221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5155
KS
Other
Enumeration date
11/29/2006
Last updated
10/11/2007
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