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Individual

MEREDITH LEE LEWALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, MSN, BSN

Contact information

Practice address
600 PARK ST # LL045MU, HAYS, KS 67601
(785) 628-4293
(785) 628-4089
Mailing address
600 PARK ST # LL045MU, HAYS, KS 67601-4099
(785) 628-4293
(785) 628-4089

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77679
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
BCBS OF KS
KS
05
PENDING
KS
Enumeration date
05/12/2017
Last updated
07/23/2019
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