Individual
ABBY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(612) 270-6965
Mailing address
16498 S MANOR RD, EDEN PRAIRIE, MN 55346-2304
(612) 270-6965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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