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NPI Code Detail

MEDICARE: DR. LASHUNTAE LEWIS

MEDICARE: DR. LASHUNTAE LEWIS
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
1183500000XPharmacist42603TX

General Provider Information

NPI Number : 1215264510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LASHUNTAE LEWIS
Provider Business Mailing Address
First Line : 1819 E BETHANY DR
Second Line :
City : ALLEN
State : TX
Zip : 75002-1882
Country : US
Telephone Number : 972-359-2884
Fax Number :
Provider Business Practice Location Address
First Line : 1819 E BETHANY DR
Second Line :
City : ALLEN
State : TX
Zip : 75002-1882
Country : US
Telephone Number : 972-359-2884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2009
Last Update Date : 11/06/2009

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Directions to “ DR. LASHUNTAE LEWIS ” Practice Location

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