Individual
TAMMY Y LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2839 ORCHARD TRACE WAY, RALEIGH, NC 27610-5645
(919) 332-6204
Mailing address
2839 ORCHARD TRACE WAY, RALEIGH, NC 27610-5645
(919) 332-6204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238720
NC
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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