Individual
MOLLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9001 S 101ST EAST AVE STE 230, TULSA, OK 74133-5797
(918) 392-5411
(918) 615-3465
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
136240
OK
Other
Enumeration date
07/02/2020
Last updated
09/14/2020
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