Individual
MS. ANISSA G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
435 GYPSY LN, YOUNGSTOWN, OH 44504-1337
(330) 534-4284
(330) 534-4495
Mailing address
435 GYPSY LN, YOUNGSTOWN, OH 44504-1337
(330) 534-4284
(330) 534-4495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN128025-M-IV
OH
Other
Enumeration date
06/25/2012
Last updated
11/09/2020
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