Individual
GERALD C LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS, BC
Contact information
Practice address
9120 CONNECTICUT ST STE A, MERRILLVILLE, IN 46410-7015
(219) 793-1233
(219) 793-1244
Mailing address
9120 CONNECTICUT ST STE A, MERRILLVILLE, IN 46410-7015
(219) 793-1233
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000167
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01054054
RR MEDICARE
IN
Enumeration date
09/24/2006
Last updated
11/13/2023
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