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LYN LEWIS
>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1770019887
Individual Registrant: LYN LEWIS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
8308 WATERLINE DR 105 BOYTON BEACH, FL 33472 US
Tel: 845-797-1963 Fax: --
Tel: 845-797-1963 Fax: --
Contact information for business:
8308 WATERLINE DR APT 105 BOYNTON BEACH, FL 33472-2352 US
Tel: 845-797-1963 Fax: --
Tel: 845-797-1963 Fax: --
Registration Information:
NPI: 1770019887
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist | FL | 1249827 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PENDING | FL | 05 |
