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Individual

DORETHA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 INDUSTRIAL PARK DR STE A, WALDORF, MD 20602-2792
(301) 638-7543
Mailing address
9301 ANNAPOLIS RD, LANHAM, MD 20706-3115

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary

Other

Enumeration date
10/06/2022
Last updated
10/06/2022
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