Patricia Lewis

NPI #1205544889 in Moore, Oklahoma

Provider Information

NPI Number: 1205544889
Entity Type: Individual
Name: Patricia Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 11, 2022
Last Updated: Nov 11, 2022

Practice Location

Address: 1601 SW 31ST ST
City: Moore
State: Oklahoma
ZIP Code: 73160-1180
Phone: (580) 860-4605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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