Provider Information for 1295309672
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Dr. LAURA A LEWIS PhD, LCSW
Sex: Female
NPI: 1295309672
Last Updated: 2021-05-19
Certification Date: 2021-04-26
Certification Date: 2021-04-26
Details
| Name | Value | ||||||||||||||
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| NPI | 1295309672 | ||||||||||||||
| Enumeration Date | 2021-05-19 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 399 WILLOW GREEN DR AMHERST, NY 14228-3472 United States Phone: 716-566-8204 | Fax: | ||||||||||||||
| Primary Practice Address | 399 WILLOW GREEN DR AMHERST, NY 14228-3472 United States Phone: 716-566-8204 | Fax: | ||||||||||||||
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