Individual
WENDY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
940 GA HIGHWAY 96 STE C, WARNER ROBINS, GA 31088-2585
(478) 988-7100
(478) 988-6847
Mailing address
940 C HWY 96, WARNER ROBINS, GA 31099
(478) 988-7100
(478) 988-6847
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN070979
GA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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