RANDY ALLEN LEWIS

LAVALE, MD
NPI1083322572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP55952)
Enumeration Date2022-11-14
Last Update Date2022-11-14
Business Address
RANDY ALLEN LEWIS
14701 NATIONAL HWY SW
LAVALE, MD 21502-6573
Phone number: 301-687-0940
Mailing Address
RANDY ALLEN LEWIS
14701 NATIONAL HWY SW
LAVALE, MD 21502-6573
Phone number: 301-687-0940