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MADENA LYNN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320
(860) 439-6400
(860) 390-1463
Mailing address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 439-6400
(860) 390-1463

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7408
CT

Other

Enumeration date
02/15/2018
Last updated
10/02/2019
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