Organization
LEWIS HEALTH SERVICES, INC
Active
Other names
Nicole Lewis Massage
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEWIS LMP, LMT, MMP (MASSAGE THERARPIST)
(360) 989-0312
Entity
Organization
Contact information
Practice address
2402 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 989-0312
(360) 567-0620
Mailing address
7408 NE 87TH CIR, VANCOUVER, WA 98662-2827
(360) 989-0312
(360) 567-0620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA24601
WA
Other
Enumeration date
04/12/2012
Last updated
06/02/2013
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