Individual
MADELYN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 E ALVARADO ST, FALLBROOK, CA 92028-2048
(760) 728-1904
Mailing address
130 E ALVARADO ST, FALLBROOK, CA 92028-2048
(760) 728-1904
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
516050
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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