Individual
LEETHA WYNNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3775 BELLEAU WOOD DR, LEXINGTON, KY 40517-1804
(859) 271-9001
Mailing address
149 FIELDVIEW DR, VERSAILLES, KY 40383-0836
(859) 492-7211
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1070535
KY
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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