Individual
EMANUEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 E 33RD ST, TULSA, OK 74105-2017
(918) 779-4556
Mailing address
656 W 77TH PL, TULSA, OK 74132-2853
(918) 902-3184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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