Individual
LISA ELLEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-9564
(502) 570-4601
(502) 570-4682
Mailing address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-9564
(502) 570-4601
(502) 570-4682
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
008454
KY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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