Individual
MS. NICOLE ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.A.S- P.A.-C.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5235
Mailing address
BWH, 75 FRANCIS STREET, BOSTON, MA 02115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1937
MA
Other
Enumeration date
12/06/2006
Last updated
07/29/2014
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