Individual
JODI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8320
(218) 998-8352
Mailing address
560 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8320
(218) 998-8352
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R195955-8
MN
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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