Individual
LORI MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 FURR ST, SOUTH HILL, VA 23970-9500
(434) 447-2578
Mailing address
PO BOX 484, BRACEY, VA 23919-0484
(434) 636-4384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206593
VA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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