Individual
CONSTANCE JEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2254
Mailing address
31 COLONY PARK CIR, GALVESTON, TX 77551-1737
(409) 392-7127
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
562644
TX
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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