Individual
MR. LIONEL J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21491 SEATON AVE, PT CHARLOTTE, FL 33954-3251
(941) 624-6430
Mailing address
21491 SEATON AVE, PT CHARLOTTE, FL 33954-3251
(941) 624-6430
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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