Individual
MRS. PEGGY LEA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
301 FISHER ST, KAFB, BILOXI, MS 39534-2508
(228) 377-6985
Mailing address
9121 RAINWOOD CIR, GULFPORT, MS 39503-6127
(228) 896-4983
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
538251
TX
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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