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NPI Code Detail

MEDICARE: ASHLEY LEWARS

MEDICARE: ASHLEY LEWARS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1154741866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LEWARS
Provider Business Mailing Address
First Line : 4111 SANFORD AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4111 SANFORD AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3530
Country : US
Telephone Number : 502-315-9970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2014
Last Update Date : 04/21/2014

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