Individual
ANGELIQUE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3905 LANKENAU AVE, PHILADELPHIA, PA 19131-2808
(302) 339-1711
Mailing address
3905 LANKENAU AVE, PHILADELPHIA, PA 19131-2808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN681441
PA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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