Individual
JUDITH K LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1629 W AVENUE J STE 106, LANCASTER, CA 93534-2851
(661) 310-3757
Mailing address
36827 FELICITAS AVE, PALMDALE, CA 93551-7808
(661) 406-5882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95024104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95024104
NP LICENSE
CA
Enumeration date
03/07/2023
Last updated
10/13/2024
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