Individual
ANDREA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2711 LEONARD DR STE 101, VALPARAISO, IN 46383-7121
(219) 462-6001
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002853A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200933130
—
IN
Enumeration date
12/10/2008
Last updated
06/01/2022
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