Individual
MRS. LUCIA DANIELA LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SUNSET CIRCLE, MOULTRIE, GA 31768
(229) 985-2080
(229) 890-3397
Mailing address
300 SUNSET CIRCLE, MOULTRIE, GA 31768
(229) 985-2080
(229) 890-3397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003408
GA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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