Individual
MISS ASHLEY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10948 N MAY AVE, SUITE B, OKLAHOMA CITY, OK 73120-6223
(405) 751-8889
Mailing address
3272 W MEMORIAL RD, APT. B, OKLAHOMA CITY, OK 73120-0907
(405) 371-2334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
08/03/2011
Last updated
11/07/2012
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