Individual
ERICA ELISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
1006 LEWIS LN, MCCOMB, MS 39648-3055
(769) 610-2311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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