Individual
KATARINA LAVELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 N HERMITAGE RD, HERMITAGE, PA 16148-3342
(724) 374-1004
Mailing address
4576 KIRK RD, YOUNGSTOWN, OH 44515-5303
(330) 559-1424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065232
PA
Other
Enumeration date
12/01/2023
Last updated
02/22/2024
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