Individual
ANGEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12210 QUAIL DR, BELLEVUE, NE 68123-1172
(402) 312-3621
Mailing address
12210 QUAIL DR, BELLEVUE, NE 68123-1172
(402) 312-3621
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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