Individual provider · Type 1 NPI
Shantea Lewis
Prosthetics Case Management · Copperas Cove, TX
NPI number
1619502069
Active
Practice location
2403 Dennis St
Copperas Cove, TX 76522-4828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
| Prosthetics Case Management Primary | 1744P3200X | None listed |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
About NPI 1619502069
Shantea Lewis's National Provider Identifier is 1619502069, issued on Mar 5, 2020. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Copperas Cove, TX. The record was last updated on Mar 5, 2020.