Individual
ANGELA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 S 5TH ST STE 280, SAINT CHARLES, MO 63301-2446
(636) 410-8220
(636) 410-8228
Mailing address
1360 S 5TH ST STE 280, SAINT CHARLES, MO 63301-2446
(636) 410-8220
(636) 410-8228
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
MO59178012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016584
—
MO
Enumeration date
05/09/2016
Last updated
08/14/2019
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