Individual
MS. LAQUITA DANIELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-6973
(314) 362-1185
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 362-6973
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
2012005800
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101740097
—
MO
Enumeration date
01/13/2012
Last updated
10/28/2013
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