Individual
BEVERLY ALICE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
417 LIBERTY ST, PENN YAN, NY 14527-1100
(315) 536-5160
Mailing address
496 W BLUFF DR, BLUFF POINT, NY 14478-9747
(315) 536-0027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243238-1
NY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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