Individual
DR. ANGELA NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5642
(314) 268-6410
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5642
(314) 268-6410
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018007775
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2018007775
MO
Other
Enumeration date
06/03/2015
Last updated
11/25/2024
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