Individual
MR. STEVEN EDWARD LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14430 NS 3500 RD, KONAWA, OK 74849
(580) 925-2650
(833) 402-9799
Mailing address
14430 NS 3500 RD, KONAWA, OK 74849
(580) 925-2650
(833) 402-9799
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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