Individual
JULIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,RN
Contact information
Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-2504
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017004511
MO
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041309896
IL
Other
Enumeration date
12/31/2021
Last updated
11/16/2022
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