COREY ROGER LEWIS

LANCASTER, CA
NPI1851805881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  270731)
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
COREY ROGER LEWIS LVN
4735 W AVENUE J3
LANCASTER, CA 93536-2305
Phone number: 310-418-3527
Mailing Address
COREY ROGER LEWIS LVN
4735 W AVENUE J3
LANCASTER, CA 93536-2305
Phone number: 310-418-3527