Individual
LOGAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
205 PAGE ROAD N, PINEHURST, NC 28374-2837
(910) 295-9211
Mailing address
205 PAGE ROAD N, PINEHURST, NC 28374
(910) 295-9211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01181161
NC
Other
Enumeration date
03/16/2018
Last updated
09/04/2020
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