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Individual
WENDY ELIZABETH LEWIS
Active
Individual
WENDY ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN098343
GA
363LF0000X
Family Nurse Practitioner
Primary
RN098343
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01067628
AMERIGROUP
GA
05
—
305396678A
—
GA
01
—
403969
WELLCARE
GA
01
—
50BBKLL
TERM'D MEDICARE PTAN
GA
05
—
NP2499
—
SC
01
—
P00456205
RR MEDICARE
GA
Enumeration date
07/07/2006
Last updated
01/27/2025
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