Individual
MRS. COURTNEY N LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
529 NORTHRIDE TRL, LAKELAND, FL 33813-1561
(863) 450-4274
(863) 450-4274
Mailing address
529 NORTHRIDE TRL, LAKELAND, FL 33813
(863) 450-4274
(863) 450-4274
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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