NICOLE SUPREME LEWIS

LAKELAND, FL
NPI1023457843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine
(Licence: FL  MA68381)
Enumeration Date2013-06-15
Last Update Date2013-06-15
Business Address
-- NICOLE SUPREME LEWIS MMP,LMT
214 CRESAP ST
LAKELAND, FL 33815-4704
Phone number: 813-666-9505
Mailing Address
-- NICOLE SUPREME LEWIS MMP,LMT
214 CRESAP ST
LAKELAND, FL 33815-4704
Phone number: 813-666-9505
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