Individual
PENELEPE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
507 W PALMETTO ST, FLORENCE, SC 29501-4427
(843) 669-1010
(843) 669-7676
Mailing address
507 W PALMETTO ST, FLORENCE, SC 29501-4427
(843) 669-1010
(843) 669-7676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3295
SC
Other
Enumeration date
05/30/2012
Last updated
04/20/2016
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