Individual
DR. CAROL ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1853 LANDER AVE, TURLOCK, CA 95380
(209) 656-1617
Mailing address
1321 LOCKE RD, MODESTO, CA 95355-4222
(925) 519-8589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15554
CA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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