Individual
MR. LONNIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 PINSBAARI DRIVE, ACOMA, NM 87034
(505) 552-6661
(505) 552-6426
Mailing address
PO BOX 328, ACOMA, NM 87034-0328
(505) 552-6661
(505) 552-6426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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