Individual
CHARLES D LEWIS
Active
Individual
CHARLES D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
PA
172A00000X
Driver
—
PA
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2022
Last updated
04/26/2022
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