Diane Lewis

NPI #1336744051 in Grand Forks, North Dakota

Provider Information

NPI Number
1336744051
Entity Type
Individual
Name
Diane Lewis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Adult Companion
Enumeration Date
Dec 1, 2020
Last Updated
Dec 1, 2020

Practice Location

Address
1751 36TH AVE S APT 112
ZIP Code
58201-7348
Phone
(701) 335-3491

Specialties & Taxonomy Codes

Specialty
Adult Companion

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