Individual
FABRICE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7573 ELLIS AVE APT 103, SAINT LOUIS, MO 63143-2916
(314) 366-0587
Mailing address
7573 ELLIS AVE APT 103, SAINT LOUIS, MO 63143-2916
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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