Individual
MRS. LAURA L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, APRN
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
Mailing address
1324 LAKELAND HILLS BLVD., ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN3244882
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11001289
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11001289
FL
Other
Enumeration date
09/12/2012
Last updated
02/12/2024
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