Individual
ADRIENNE D. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1901 S ONEIDA ST, GREEN BAY, WI 54304-4537
(920) 405-1241
Mailing address
W3173 CORNELL CT, APPLETON, WI 54915
(920) 268-5292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3115-39
WI
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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