Individual
KATHERINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S MADISON BLVD APT 811, BARTLESVILLE, OK 74006-7938
(918) 934-7362
Mailing address
1100 S MADISON BLVD APT 811, BARTLESVILLE, OK 74006-7938
(918) 934-7362
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
12/08/2023
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