Individual
MS. NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6350
Mailing address
160 SPRING VALLEY WAY, COVINGTON, GA 30016-8246
(678) 230-2299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN205028
GA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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