Individual
PROF. LAMONT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
828 E 44TH ST, CHICAGO, IL 60653-3502
(847) 312-6675
Mailing address
828 E 44TH ST, CHICAGO, IL 60653-3502
(847) 312-6675
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
IL
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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