Individual
DIANA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
8146 DEER RUN WAY, SOUTH WEBER, UT 84405-9432
(801) 388-4377
Mailing address
8146 DEER RUN WAY, SOUTH WEBER, UT 84405-9432
(801) 388-4377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7509081-4701
UT
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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