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Individual
MS. KATHY TIALDIMPAR LEWIS
Active
Individual
MS. KATHY TIALDIMPAR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95025965
CA
363LF0000X
Family Nurse Practitioner
R218145
MD
Other
Enumeration date
01/09/2023
Last updated
01/22/2025
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