Individual
LORI T LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 455-3879
Mailing address
5213 TAYLOR AVE, MOUNT PLEASANT, WI 53403-9400
(414) 698-7765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WI
101YM0800X
Mental Health Counselor
—
WI
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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