Individual
VINCENT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 WINTU CIR, MAYSVILLE, KY 41056-8665
(606) 407-4438
Mailing address
1601 WINTU CIR, MAYSVILLE, KY 41056-8665
(606) 407-4438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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