Individual
MRS. NANCY MARIE LEWARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9607
(317) 535-4075
(317) 535-4076
Mailing address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9607
(317) 535-4075
(317) 535-4076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001138A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200644490
—
IN
Enumeration date
03/12/2007
Last updated
11/19/2013
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