Individual
COURTNEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(781) 413-1211
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2305816
MA
Other
Enumeration date
07/31/2013
Last updated
07/12/2019
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