Individual
CIERA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19442 113TH RD, SAINT ALBANS, NY 11412-2422
(347) 593-1255
Mailing address
19442 113TH RD, SAINT ALBANS, NY 11412-2422
(347) 593-1255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295958-1
NY
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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