Individual
OLAYINKA A. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 RIVERSIDE PKWY STE 107, LAWRENCEVILLE, GA 30043-5926
(678) 878-3215
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN214652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
07/30/2019
Last updated
08/01/2022
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