Individual
MS. KEESHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3115 COLLEGE PARK DRIVE, SUITE 104, CONROE, TX 77384
(936) 321-5030
(936) 271-5033
Mailing address
42 FLICKERING SUN CT, THE WOODLANDS, TX 77382-5785
(281) 651-5790
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
194558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194558
LVN LICENSE TEXAS BNE
TX
Enumeration date
10/27/2006
Last updated
07/18/2007
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