Individual
MRS. TONYA RAE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1633 PHILIPSBURG BIGLER HWY, PHILIPSBURG, PA 16866-8112
(814) 342-5678
(814) 342-0168
Mailing address
28 COLORADO DR, HOUTZDALE, PA 16651-8550
(814) 342-5678
(814) 342-0168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN250595L
PA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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