Individual
AMANDA WILSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1713 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-8128
(270) 259-3003
(270) 259-5408
Mailing address
1713 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-8128
(270) 259-3003
(270) 259-5408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7725
KY
Other
Enumeration date
05/13/2008
Last updated
12/19/2017
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