Individual
MARY ELIZABETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 FAIRFOREST RD, COLUMBIA, SC 29212-2308
(803) 404-9300
Mailing address
1212 METZE RD APT 12D, COLUMBIA, SC 29210-0751
(803) 404-9300
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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