Individual
LAUREN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9515 E 51ST ST STE G, TULSA, OK 74145-9053
(918) 622-7488
Mailing address
17099 S 157TH EAST AVE, BIXBY, OK 74008-7202
(918) 284-0539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5137
OK
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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