Individual
PAMELA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1202 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 341-2556
Mailing address
1903 CORNERSTONE LN # B, CLAREMORE, OK 74017-2037
(918) 863-3182
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
136634
OK
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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