Individual
JENNIFER R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6263
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12004
CT
Other
Enumeration date
12/11/2023
Last updated
03/27/2024
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