Individual
DR. KELLY LORA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
TOPEKA VA MEDICAL CTR, 2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
TOPEKA VA MEDICAL CTR, 2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1768
KS
103T00000X
Psychologist
2006034117
MO
Other
Enumeration date
05/19/2008
Last updated
11/14/2017
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