Individual
MRS. KAREN LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
636 2ND AVE, ROCHELLE, GA 31079-2046
(229) 365-2570
(229) 365-2571
Mailing address
636 2ND AVE, ROCHELLE, GA 31079-2046
(229) 365-2570
(229) 365-2571
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN180944
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127311B
—
GA
Enumeration date
08/20/2012
Last updated
04/18/2013
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