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Individual

DR. HOLLY ANN LEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPTOMETRIST

Contact information

Practice address
6905 E 96TH ST, 1100, INDIANAPOLIS, IN 46256-3302
(317) 585-9800
(317) 585-9823
Mailing address
6905 E 96TH ST, 1100, INDIANAPOLIS, IN 46256-3302
(317) 585-9800
(317) 585-9823

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002745A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15380
SPECTRA
IN
01
184697
EYE MED
IN
01
6551
DAVIS VISION
IN
Enumeration date
10/26/2006
Last updated
07/08/2007
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