Lewis, Carla Renee

Lewis, Carla Renee is an individual health care provider with primary practice located at 3129 State St , East Saint Louis IL 62205-2203. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lewis, Carla Renee can be contacted via phone (618) 274-4040.

Contact Information

Primary practice address
3129 State St East Saint Louis IL 62205-2203
Phone: (618) 274-4040
Fax: (618) 274-0452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1740305515
LBN Legal business name Lewis, Carla Renee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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