Provider Information for 1548435118
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LOWELL ROBERT LEWIS LCSW
Sex: Male
NPI: 1548435118
Last Updated: 2019-10-31
Certification Date:
Certification Date:
Details
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NPI | 1548435118 | ||||||||
Enumeration Date | 2008-04-24 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 5857 LITTLESTONE CT NORTH FORT MYERS, FL 33903-4922 United States Phone: 239-823-2483 | Fax: | ||||||||
Primary Practice Address | 5857 LITTLESTONE CT NORTH FORT MYERS, FL 33903-4922 United States Phone: 239-823-2483 | Fax: | ||||||||
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