Individual
PAIGE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 EMILIO LOPEZ RD NW, LOS LUNAS, NM 87031-6818
(505) 866-2700
Mailing address
200 EMILIO LOPEZ RD NW, LOS LUNAS, NM 87031-6818
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R36369
NM
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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