Individual
MAGGIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3433 N HWY 67, FLORISSANT, MO 63033
(314) 755-1822
Mailing address
3433 NORTH HIGHWAY 67, FLORISSANT, MO 63033
(314) 755-1822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.014868
IL
363LF0000X
Family Nurse Practitioner
Primary
2014004544
MO
Other
Enumeration date
03/04/2014
Last updated
10/17/2016
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