Individual
LYN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8308 WATERLINE DR 105, BOYTON BEACH, FL 33472
(845) 797-1963
Mailing address
8308 WATERLINE DR APT 105, BOYNTON BEACH, FL 33472-2352
(845) 797-1963
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1249827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/10/2017
Last updated
05/10/2017
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