Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | 1788 | NC |
NPI | 1558735118 |
---|---|
Provider Name | Lewis Bell |
First Address | Dunn, NC 28334-4716 |
Second Address | Dunn, NC 28334-4716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2015 |
Last Update Date | 19/11/2015 |