Individual
ALICIA M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 SHOLTZ RD, ONEIDA, NY 13421-3828
(315) 368-8492
Mailing address
4505 SHOLTZ RD, ONEIDA, NY 13421-3828
(315) 368-8492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
603588-1
NY
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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