Provider Information for 1033632815
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SUANDRIA LEWIS
Sex: Female
NPI: 1033632815
Last Updated: 2024-05-05
Certification Date: 2024-05-05
Certification Date: 2024-05-05
Details
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NPI | 1033632815 | ||||||||
Enumeration Date | 2017-07-24 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 2710 HAYDEN DR EAST POINT, GA 30344-1056 United States Phone: 207-726-9677 | Fax: | ||||||||
Primary Practice Address | 5350 DTC PKWY STE 306 GREENWOOD VILLAGE, CO 80111-2998 United States Phone: 720-772-6967 | Fax: | ||||||||
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