Individual
CHARVONNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
295 SAINT LAWRENCE AVE APT 2, BUFFALO, NY 14216-1416
(716) 339-6704
Mailing address
295 SAINT LAWRENCE AVE APT 2, BUFFALO, NY 14216-1416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
356638
NY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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