Individual
MS. GEORGETTE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14 JOHN ELIOT SQ APT 3F, ROXBURY, MA 02119-3513
(857) 492-2246
Mailing address
14 JOHN ELIOT SQ APT 3F, ROXBURY, MA 02119-3513
(857) 492-2246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85265
MA
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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