Individual
RICKY L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
835 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-8421
(334) 222-1248
Mailing address
PO BOX 398, ANDALUSIA, AL 36420-1207
(334) 222-8421
(334) 222-1248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-061464
AL
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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