Individual
MS. MEGAN OTT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3550 MARKET ST, RM 30249, PHILADELPHIA, PA 19104-3329
(215) 590-2549
Mailing address
3550 MARKET ST, RM 3026, PHILADELPHIA, PA 19104-3329
(267) 426-5856
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010723
PA
Other
Enumeration date
02/18/2010
Last updated
10/06/2016
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