Individual
LYNSIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 WENTWORTH RD, BALTIMORE, MD 21234-6128
(410) 661-5717
Mailing address
1801 WENTWORTH RD, BALTIMORE, MD 21234-6128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01437L
MD
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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