JUSTIN LAVELLE LEWIS

TUSCALOOSA, AL
NPI1316409592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-135286)
Enumeration Date2019-04-04
Last Update Date2020-11-12
Business Address
JUSTIN LAVELLE LEWIS CRNP
5005 OSCAR BAXTER DR
TUSCALOOSA, AL 35405-3698
Phone number: 205-343-2225
Mailing Address
JUSTIN LAVELLE LEWIS CRNP
5005 OSCAR BAXTER DR
TUSCALOOSA, AL 35405-3698
Phone number: 205-343-2225