Individual
DR. SUSAN MARYLYN LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
648 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6737
(314) 569-4040
(314) 432-2408
Mailing address
648 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6737
(314) 569-4040
(314) 432-2408
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00408
MO
237700000X
Hearing Instrument Specialist
000450
MO
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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