Tracy L Lewis

NPI #1144472093 in Lowell, Arkansas

Provider Information

NPI Number: 1144472093
Entity Type: Individual
Name: Tracy L Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 22, 2008
Last Updated: Oct 22, 2008

Practice Location

Address: 519 LATHAM DR
City: Lowell
State: Arkansas
ZIP Code: 72745-8360
Phone: (479) 750-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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