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Individual

MAYA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
841 N 14TH ST, LINCOLN, NE 68588-1282
(402) 472-3438
(402) 472-8080
Mailing address
2810 FLETCHER AVE APT 63, LINCOLN, NE 68504-1185
(531) 205-8943

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1112
NE

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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