Individual
RAYMOND LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 FAWCETT AVE STE 100, TACOMA, WA 98402-5502
(253) 593-2413
Mailing address
721 FAWCETT AVE STE 100, TACOMA, WA 98402-5502
(253) 593-2413
(253) 627-4817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00039457
WA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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