Individual
DR. AMANDA JANE LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2220 N MONROE ST, DECATUR, IL 62526-6304
(217) 877-1742
(217) 877-0652
Mailing address
2220 N MONROE ST, DECATUR, IL 62526-6304
(217) 877-1742
(217) 877-0652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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