Individual
MRS. DIANAH LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738
(916) 971-7640
Mailing address
4243 BRISBANE CIR, EL DORADO HILLS, CA 95762-5311
(916) 933-9679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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