Individual
MRS. SHERRAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
340 RIVER ROAD, BUCKLEY, WA 98321-1685
(360) 829-5919
Mailing address
21210 82ND STREET CT E, BONNEY LAKE, WA 98391-8322
(253) 202-9000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60492624
WA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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