Individual
STEPHANIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
915 4TH ST NE, AUBURN, WA 98002-4452
(253) 931-4900
Mailing address
20975 41ST PL S APT F104, DES MOINES, WA 98198-4276
(253) 576-1322
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60839986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP60839986
DEPARTMENT OF HEALTH
WA
Enumeration date
05/07/2019
Last updated
05/07/2019
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