Individual
KATHRYN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
201 LINCOLN STATUE DR, DIXON, IL 61021-2000
(815) 677-0674
(815) 425-9369
Mailing address
201 LINCOLN STATUE DR, DIXON, IL 61021-2000
(815) 677-0674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021392
IL
Other
Enumeration date
06/11/2020
Last updated
03/20/2025
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