IAN LEWIS

SURPRISE, AZ
NPI1356601157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP7773)
Enumeration Date2012-05-25
Last Update Date2012-05-25
Business Address
-- IAN LEWIS M.S.
16121 N 170TH AVE
SURPRISE, AZ 85388-1362
Phone number: 509-710-3507
Mailing Address
-- IAN LEWIS M.S.
16121 N 170TH AVE
SURPRISE, AZ 85388-1362
Phone number: 509-710-3507
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