Individual
STEPHANIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
5727 CRITTENDEN ST, PHILADELPHIA, PA 19138-1905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN264304L
PA
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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