Individual
DEBRA JO LYNNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
305 N MANGOUSTINE AVE STE 100, SANFORD, FL 32771-1004
(321) 283-2100
Mailing address
12704 WATERFORD WILLOW LN APT 108, ORLANDO, FL 32828-6074
(513) 578-3401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11017986
FL
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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