Individual
LATASHA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2946 STRAUSS LN, INDIANAPOLIS, IN 46239-1783
(317) 628-3268
Mailing address
2946 STRAUSS LN, INDIANAPOLIS, IN 46239-1783
(317) 628-3268
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2310859705
IN
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
06/01/2024
Last updated
07/23/2024
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