Individual
SANDRA ELLEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 265, RICHMOND, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
240 NEW RIVER DR, JACKSONVILLE, NC 28540-5927
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1007029
DC
367500000X
Certified Registered Nurse Anesthetist
0024169208
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
6650
NC
Other
Enumeration date
12/03/2010
Last updated
12/14/2021
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