Individual
JOAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W JEFFERSON ST, MONROE, NC 28112-4713
(704) 289-6160
Mailing address
PO BOX 11, MONROE, NC 28111-0011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412230
—
NC
05
—
SAN045
—
SC
Enumeration date
03/28/2007
Last updated
07/08/2007
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