Individual
LISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SMOCK CT, MANALAPAN, NJ 07726-7942
(732) 299-8607
Mailing address
22 SMOCK COURT, MANALAPAN, NJ 07726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01155800
NJ
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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