Individual
CELINA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
106 RIDGE RD, MINOOKA, IL 60447-9867
(815) 467-7090
Mailing address
501 E PEASE ST, HEYWORTH, IL 61745-9168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011359
IL
Other
Enumeration date
05/30/2019
Last updated
02/15/2022
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