Individual
MRS. ELIZABETH MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 648-2266
(855) 348-8430
Mailing address
405 S CLAIRBORNE RD STE 2, OLATHE, KS 66062-1774
(913) 730-3661
(913) 768-1944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111418
NE
363LW0102X
Women's Health Nurse Practitioner
2012024330
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
75719
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201139060B
—
KS
Enumeration date
12/04/2012
Last updated
07/17/2019
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