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Individual

LAUREN MCGOWAN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 GRESHAM DR, ADVANCED HEART FAILURE, NORFOLK, VA 23507-1904
(757) 388-3673
Mailing address
600 GRESHAM DR, ADVANCED HEART FAILURE, NORFOLK, VA 23507-1904
(757) 388-2831

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024114909
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295943900
NC
05
1295943900
VA
Enumeration date
05/18/2007
Last updated
04/08/2016
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