Individual
LISA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
463 MAXWELL ST, WEST HEMPSTEAD, NY 11552-1920
(516) 538-4178
Mailing address
463 MAXWELL ST, WEST HEMPSTEAD, NY 11552-1920
(516) 538-4178
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304921-1
NY
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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