Individual
ALISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 PLEASANT HILL DR, CLERMONT, FL 34711-2741
(352) 227-3835
Mailing address
2446 VIEW RIDGE WAY, CLERMONT, FL 34711-3544
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115963600
—
FL
Enumeration date
09/15/2020
Last updated
01/30/2023
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