Individual
LEAH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18535 FM 1488 RD, #210, MAGNOLIA, TX 77354-2700
(281) 789-7065
Mailing address
10415 CRESTWATER CIR, MAGNOLIA, TX 77354-3213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10760
TX
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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