Individual
RANDI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLOCKER, ARKOMA, OK 74901-0349
(918) 875-3835
Mailing address
PO BOX 349, ARKOMA, OK 74901-0349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14052499
OK
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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