Individual
DR. AVIANCE SHAUNTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7386 HARBOUR TOWNE PKWY, SUITE 21, SUFFOLK, VA 23435-3463
(757) 483-4129
(757) 483-4240
Mailing address
7386 HARBOUR TOWNE PKWY, SUITE 21, SUFFOLK, VA 23435-3463
(757) 483-4129
(757) 483-4240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207854
VA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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