Individual
LAURA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 NOCONIA PL, FUQUAY VARINA, NC 27526-6690
(919) 567-0488
Mailing address
706 NOCONIA PL, FUQUAY VARINA, NC 27526-6690
(919) 567-0488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2232
NC
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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