Individual
MRS. AUDRA R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5270 W BASELINE RD, SUITE 130, LAVEEN, AZ 85339-6959
(602) 237-8182
Mailing address
5270 W BASELINE RD, SUITE 130, LAVEEN, AZ 85339-6959
(602) 237-8182
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7673
AZ
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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