LEWIS SHILANE

NEVADA, MO
NPI1013940469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  R5F58)
Enumeration Date2006-07-09
Last Update Date2007-07-08
Business Address
-- LEWIS SHILANE D.O.
2323 N ASH ST NEVADA HABILITATION CENTER
NEVADA, MO 64772-1054
Phone number: 417-667-7833
Mailing Address
-- LEWIS SHILANE D.O.
25514 LEFFEN LN
JOPLIN, MO 64801-6367
Phone number: