Individual
MRS. SUMMER RENEA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST,CFA
Contact information
Practice address
3 AUDUBON PLAZA DR STE 560, LOUISVILLE, KY 40217-1376
(502) 636-8004
(502) 636-8384
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA055
KY
246ZS0410X
Surgical Technologist
89182
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358027
246Z50400X
KY
Enumeration date
02/02/2007
Last updated
09/30/2019
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