Individual
DEONDRE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4028 S HOWELL AVE, MILWAUKEE, WI 53207-4408
(414) 559-7992
Mailing address
4028 S HOWELL AVE, MILWAUKEE, WI 53207-4408
(414) 559-7992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14492
WI
Other
Enumeration date
05/05/2018
Last updated
02/05/2020
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