Individual
MS. MATILDE LIDIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9915 NW 41 ST, SUITE 230, DORAL, FL 33178
(786) 595-9900
(786) 533-9475
Mailing address
9915 NW 41 ST, SUITE 230, DORAL, FL 33178
(786) 595-9900
(786) 533-9475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2508122
FL
163WD0400X
Diabetes Educator Registered Nurse
CDE09910404
FL
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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