Lewis, Lon Wallda

Lewis, Lon Wallda is an sole proprietor health care provider with primary practice located at 5711 Altama Ave Suite J, Brunswick GA 31525-2240. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lewis, Lon Wallda can be contacted via phone (912) 264-2622.

Contact Information

Primary practice address
5711 Altama Ave Suite J Brunswick GA 31525-2240
Phone: (912) 264-2622
Fax: (912) 264-1392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH010977 Georgia

Profile Details

NPI number 1790844462
LBN Legal business name Lewis, Lon Wallda
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
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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