MS. Elaine Y Lewis

NPI #1639415243 in Covington, Georgia

Provider Information

NPI Number: 1639415243
Entity Type: Individual
Name: MS. Elaine Y Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 31, 2012
Last Updated: Dec 31, 2012

Practice Location

Address: 205 QUEENSLAND LN
City: Covington
State: Georgia
ZIP Code: 30016-3100
Phone: (404) 210-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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