Individual
MARTHA B LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTHER
Contact information
Practice address
3994 HAWTHORNE LN, WILSON, WY 83014-9195
(307) 690-1502
Mailing address
3994 HAWTHORNE LN, WILSON, WY 83014-9195
(307) 690-1502
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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