Individual
TRYPHENA T LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R136634
MD
363LN0000X
Neonatal Nurse Practitioner
Primary
R136634
MD
Other
Enumeration date
02/10/2010
Last updated
05/26/2022
Update your record
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