Individual
STEPHANIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
813 HARMONY LN, MCKINNEY, TX 75069-4959
(214) 535-8759
Mailing address
813 HARMONY LN, MCKINNEY, TX 75069-4959
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2021
Last updated
10/24/2022
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