Individual
ELIZABETH VICTORIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1065 CREST RIDGE CT, MINNETRISTA, MN 55364-9650
(952) 994-6314
Mailing address
1065 CREST RIDGE CT, MINNETRISTA, MN 55364-9650
(952) 994-6314
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5682
MN
Other
Enumeration date
12/18/2017
Last updated
04/11/2022
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