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PATRICIA D LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
657 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 255-3784
(205) 255-3775
Mailing address
657 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 255-3784
(205) 255-3775

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R892524
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-052298
ALABAMA STATE MEDICAL LICENSE
01
LEW104291133
NCC BOARD
Enumeration date
06/28/2006
Last updated
06/13/2019
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