Individual
BLAKE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 HIGH SCHOOL DR, BELLEVUE, NE 68005-3275
(402) 293-4150
Mailing address
4736 VIRGINIA ST APT 2B, BELLEVUE, NE 68157-2693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013010499
NE
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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