Individual
LORI LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 BROADVIEW ST, EL DORADO, KS 67042-3128
(316) 322-5662
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-48495-032
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134239395
VAMC
KS
Enumeration date
04/18/2023
Last updated
04/18/2023
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