Individual
BRITTANY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
912 N HAMPTON RD STE 105, DESOTO, TX 75115-4012
(225) 733-7039
Mailing address
912 N HAMPTON RD STE 105, DESOTO, TX 75115-4012
(225) 733-7039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00000000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
00000000
TX
Enumeration date
12/06/2022
Last updated
12/06/2022
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