MRS. Keisha Lewis, D.T.

NPI #1013248624 in Chicago, Illinois

Provider Information

NPI Number: 1013248624
Entity Type: Individual
Name: MRS. Keisha Lewis, D.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: D.T.
Enumeration Date: Jan 21, 2010
Last Updated: Jan 21, 2010

Practice Location

Address: 834 W 111TH ST
City: Chicago
State: Illinois
ZIP Code: 60643-3839
Phone: (773) 568-0743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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