Individual
KIMBERLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5725 JOHNSTON ST, BOX 2307, LAFAYETTE, TX 78213
(337) 989-2020
(337) 989-2094
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1409-547T
LA
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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