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Individual

MATTHEW KEITH LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 256-2570
(417) 256-6497
Mailing address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 256-2570
(417) 256-6497

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
05/28/2019
Last updated
05/28/2019
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