Female

Desiree Lewis-nelson

Optician in Richmond, VA(View on Map)

Full Name

Desiree Lewis-nelson

NPI Number

1659670933

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/25/2011

Specialties

(Taxonomies)

Code

156FX1800X
332H00000X

Primary Taxonomy

Yes
No

Licenses

State

Virginia

License Number

1101-003025

Contact
Information

Purpose

Mailing
Location

Address

3353 MEADOWMONT LN
904 N 1ST ST

City

Richmond
Richmond

State

VA
VA

Postal Code

23223-2148
23219-1000

Country

US
US

Telephone Number

N/A
(804) 601-6263

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/23/2024

Provider Address

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