Individual
KRISTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N MARKET ST STE 101, MOUNT CARMEL, IL 62863-1945
(618) 263-4970
Mailing address
1001 N MARKET ST STE 101, MOUNT CARMEL, IL 62863-1945
(618) 263-4970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043104377
IL
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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