Individual
MAXINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
6480 CENTRAL AVE, ST PETERSBURG, FL 33707-1329
(727) 542-8481
Mailing address
6480 CENTRAL AVE, ST PETERSBURG, FL 33707-1329
(727) 542-8481
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3949
FL
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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