Individual provider · Type 1 NPI

Dominique Nicole Lewis

Student in an Organized Health Care Education/Training Program · Duluth, GA

NPI number 1225775596 Active

Practice location

2810 Premiere Pkwy Ste 500
Duluth, GA 30097-8912

Call (866) 523-4268 Map

Mailing address

1257 Image Xing
Lawrenceville, GA 30045-2287

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225775596

Dominique Nicole Lewis's National Provider Identifier is 1225775596, issued on May 17, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Duluth, GA. The record was last updated on May 17, 2022.