Individual
DESIREE LEWIS-NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 N 1ST ST, RICHMOND, VA 23219-1000
(804) 601-6263
Mailing address
3353 MEADOWMONT LN, RICHMOND, VA 23223-2148
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101-003025
VA
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/25/2011
Last updated
02/23/2024
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