Individual
JULIE LEWIS
Active
Individual
JULIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,RN
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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