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Ms. Dominique Nicole Lewis
Student in an Organized Health Care Education/Training Program in Duluth, Georgia
NPI 1225775596

Dominique Nicole Lewis is a Student in an Organized Health Care Education/Training Program based in Lawrenceville, GA. Dominique Nicole Lewis practices in Duluth, GA. The NPI Number for Dominique Nicole Lewis is 1225775596 and holds a License No. (Georgia).

The current practice location address for Dominique Nicole Lewis is 2810 Premiere Pkwy Ste 500, Duluth, GA and can be reached out via phone at 866-523-4268.

Location: 2810 Premiere Pkwy Ste 500, Duluth, GA, 30045-2287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225775596
Provider Name
Dominique Nicole Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2810 Premiere Pkwy Ste 500, Duluth, GA, 30045-2287
Phone Number
866-523-4268
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2810 Premiere Pkwy Ste 500
City
Duluth
State
Georgia
Zip
30097-8912
Phone Number
866-523-4268
Fax Number
person
Provider Business Mailing Address Details
Address
2810 Premiere Pkwy Ste 500
City
Duluth
State
Georgia
Zip
30097-8912
Phone Number
866-523-4268
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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