Lewis, Tamica Yolanda

Lewis, Tamica Yolanda is an individual health care provider with primary practice located at 3095 E Patrick Ln Ste 12 , Las Vegas NV 89120-3480. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Lewis, Tamica Yolanda can be contacted via phone (702) 483-5919.

Contact Information

Primary practice address
3095 E Patrick Ln Ste 12 Las Vegas NV 89120-3480
Phone: (702) 483-5919
Fax: (702) 483-5546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1831539311
LBN Legal business name Lewis, Tamica Yolanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Jun 28th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831539311 NPPES
Nevada MEDICAID 170004672

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