Individual
DEVIN MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
143 TRAIL LOOP DR UNIT 103, PADUCAH, KY 42001-9584
(205) 317-3601
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013225
KY
Other
Enumeration date
04/08/2019
Last updated
08/21/2020
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