Amanda Dawn J. Lewis

NPI #1629871769 in Wagoner, Oklahoma

Provider Information

NPI Number: 1629871769
Entity Type: Individual
Name: Amanda Dawn J. Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Mar 31, 2025
Last Updated: Mar 31, 2025

Practice Location

Address: 215 NE 1ST ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4439
Phone: (918) 201-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

Additional Practice Locations

113 W Keetoowah St

Tahlequah, OK, 74464-3819

(918) 931-3700

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