Individual
LAURA MARISSA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 STATE HIGHWAY 121 APT 317, LEWISVILLE, TX 75056-5140
(972) 971-0813
Mailing address
4440 STATE HIGHWAY 121 APT 317, LEWISVILLE, TX 75056-5140
(972) 971-0813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82164
TX
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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