MRS. Tiera Lewis
NPI #1619538956 in Glenolden, Pennsylvania
Provider Information
- NPI Number
- 1619538956
- Entity Type
- Individual
- Name
- MRS. Tiera Lewis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jun 26, 2019
- Last Updated
- Jun 26, 2019
Practice Location
- Address
- 708 RIVELY AVE
- City
- Glenolden
- State
- Pennsylvania
- ZIP Code
- 19036-1119
- Phone
- (445) 800-5005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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