Individual
MS. ROSEL FORWANG LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42 HALLOWELL ST, MATTAPAN, MA 02126
(617) 888-0302
Mailing address
42 HALLOWELL ST, MATTAPAN, MA 02126
(617) 888-0302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284195
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2284195
MA
Other
Enumeration date
08/03/2015
Last updated
12/09/2019
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