Individual
DEVRA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
80 BIRDSONG LANE, 401 FORT ROAD, WHITE SWAN, WA 98952
(509) 874-2979
(509) 874-2113
Mailing address
PO BOX 693, WHITE SWAN, WA 98952-0693
(509) 874-2979
(509) 874-2113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00050979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP00050979
—
WA
Enumeration date
10/21/2020
Last updated
10/21/2020
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