BLAKE LEWIS

BELLEVUE, NE
NPI1720417942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NE  2013010499)
Enumeration Date2013-11-07
Last Update Date2013-11-07
Business Address
-- BLAKE LEWIS
1401 HIGH SCHOOL DR
BELLEVUE, NE 68005-3275
Phone number: 402-293-4150
Mailing Address
-- BLAKE LEWIS
4736 VIRGINIA ST APT 2B
BELLEVUE, NE 68157-2693
Phone number: