NPI 1194186619
Randy Lewis
Practice location
- Address
- 308 NE 2nd St, Wagoner, OK 74467-4441
- Phone
- (918) 485-4046
- Fax
- (918) 485-8710
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1194186619
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Mar 2016
- Record last updated
- 10 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.