Individual
MRS. SUSAN AILEEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10000 BAY PINES BLVD, ST. PETERSBURG, FL 33708
(727) 398-6661
Mailing address
12188 BONNIE TER, SEMINOLE, FLORIDA, SEMINOLE, FL 33772-3423
(727) 391-3797
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1829672
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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