Individual
SHERRY J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1639 N ALPINE RD, SUITE 260, ROCKFORD, IL 61107-1449
(815) 395-1500
(815) 395-1415
Mailing address
PO BOX 957, ROCKFORD, IL 61105-0957
(815) 395-1500
(815) 395-1415
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
209011803
IL
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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