MRS. L. Nicole Lewis, ATC
NPI #1184687113 in Independence, Oregon
Provider Information
- NPI Number
- 1184687113
- Entity Type
- Individual
- Name
- MRS. L. Nicole Lewis, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 235 INDEPENDENCE WAY
- City
- Independence
- State
- Oregon
- ZIP Code
- 97351-9575
- Phone
- (503) 838-4244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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