TRACEY LEE LEWIS

DECATUR, IL
NPI1528439346
Former NameTRACEY LEE MAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005631)
Enumeration Date2015-10-20
Last Update Date2020-10-22
Business Address
TRACEY LEE LEWIS PA-C
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Phone number: 217-872-3800
Mailing Address
TRACEY LEE LEWIS PA-C
102 W KENWOOD AVE STE 100
DECATUR, IL 62526-4379
Phone number: 217-872-3800
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