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Individual

GENEA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
PO BOX 110702, TACOMA, WA 98411-0702
(253) 861-3032

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00052927
WA

Other

Enumeration date
02/02/2008
Last updated
02/02/2008
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