Individual
JACQUELINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDH
Contact information
Practice address
205 N MAIN ST, HARRISBURG, IL 62946-1256
(618) 253-8450
Mailing address
1250 CEDAR CT, CARBONDALE, IL 62901-5334
(618) 253-8450
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.013932
IL
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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