Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 ELM ST, BUFFALO, NY 14203-1621
(716) 854-2444
Mailing address
291 ELM ST, BUFFALO, NY 14203-1621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311408
NY
Other
Enumeration date
04/15/2024
Last updated
06/04/2024
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