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1316409592
JUSTIN LAVELLE LEWIS
TUSCALOOSA, AL
NPI
1316409592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-135286)
Enumeration Date
2019-04-04
Last Update Date
2020-11-12
Business Address
JUSTIN LAVELLE LEWIS CRNP
5005 OSCAR BAXTER DR
TUSCALOOSA, AL 35405-3698
Phone number: 205-343-2225
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Mailing Address
JUSTIN LAVELLE LEWIS CRNP
5005 OSCAR BAXTER DR
TUSCALOOSA, AL 35405-3698
Phone number: 205-343-2225
Copy
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