Individual
MRS. LARA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
211 W HICKORY ST, WALNUT RIDGE, AR 72476-2648
(870) 886-3212
(870) 886-3224
Mailing address
3702 BOLT BLVD, JONESBORO, AR 72401-8045
(870) 268-8393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1606
AR
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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