Individual
RESHANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 LORI TER, PALATKA, FL 32177-6456
(386) 916-4935
Mailing address
104 LORI TER, PALATKA, FL 32177-6456
(386) 916-4935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5243953
FL
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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