Individual
TAMMY FAYE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N BURHANS BLVD, HAGERSTOWN, MD 21740-4677
(301) 791-2660
Mailing address
2628 CASTLEGREEN DR, GREENCASTLE, PA 17225-9299
(717) 729-1470
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R139829
MD
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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