Individual
TAYLOR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 GREAT RIVER RD APT 407, SOMERVILLE, MA 02145-1222
(516) 754-0234
Mailing address
333 GREAT RIVER RD APT 407, SOMERVILLE, MA 02145-1222
(516) 754-0234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
07/28/2020
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