Individual
LEAH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 756-5350
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9890
MN
Other
Enumeration date
06/12/2017
Last updated
06/19/2017
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