Tracy Lewis

NPI #1366983439 in Holly Ridge, North Carolina

Provider Information

NPI Number: 1366983439
Entity Type: Individual
Name: Tracy Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 9, 2017
Last Updated: Nov 27, 2017

Practice Location

Address: 1211 DAISY CT
City: Holly Ridge
State: North Carolina
ZIP Code: 28445-7989
Phone: (318) 278-7824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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