Individual
MARIANNE D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
9720 S TRYON ST, CHARLOTTE, NC 28273-6578
(704) 588-7362
(704) 588-9127
Mailing address
9720 S TRYON ST, CHARLOTTE, NC 28273-6578
(704) 588-7362
(704) 588-9127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
81186
NC
363L00000X
Nurse Practitioner
APN 422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D5856
MEDCOST
—
05
—
NP0419
—
SC
Enumeration date
03/23/2006
Last updated
07/08/2007
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