Individual
SHANNTEL N LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3839 CAMPBELL AVE, INDIANAPOLIS, IN 46226-4834
(317) 665-2365
Mailing address
3839 CAMPBELL AVE, INDIANAPOLIS, IN 46226-4834
(317) 665-2365
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
240170011
IN
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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