Individual
KATIE LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
462 LAKESHORE DR, MONROE, GA 30655-7710
(404) 630-8531
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN295611
GA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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