Most Relevant Information
Provider Data
| NPI Number: | 1003405382 |
| Provider Name: | AMANDA JESSICA LEWTON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2013015599 |
Most Important Dates
| Enumeration Date: | 01/12/2021 |
| Last Updated: | 01/12/2021 |
Provider Practice Location
20363 LANE OF CHAMPIONS
WARSAW
MO
653556463
Practice Location Phone/Fax
| Phone: | 6604387120 |
| Fax: |
Provider Mailing Location
20363 LANE OF CHAMPIONS
WARSAW
MO
653556463
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |