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Individual

LOVEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2727 N FERRY ST, ANOKA, MN 55303-1650
(763) 506-1000
Mailing address
184 HIGH ST FL 7, BOSTON, MA 02110-3001

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1044841
MN
235Z00000X
Speech-Language Pathologist
SA-21601
FL
235Z00000X
Speech-Language Pathologist
SP-2370
HI
235Z00000X
Speech-Language Pathologist
SP-6371
OK

Other

Enumeration date
12/04/2024
Last updated
05/07/2026
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