Individual
ELISE G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1440 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2149
(239) 851-7500
Mailing address
1793 ALAMBRA CIR, APOPKA, FL 32703-5492
(239) 851-7500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9248161
FL
163WA2000X
Administrator Registered Nurse
9248161
FL
163WC0400X
Case Management Registered Nurse
9248161
FL
171M00000X
Case Manager/Care Coordinator
9248161
FL
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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