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Individual

TRYPHENA T LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
301 ST. PAUL PLACE, DEPARTMENT OF PEDIATRICS, BALTIMORE, MD 21202-2102
(410) 332-9594
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF SERVICES, BALTIMORE, MD 21202-2102
(410) 332-9407

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
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