Individual
LAURA A LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
390 S TYNDALL PKWY, PMB 104, PANAMA CITY, FL 32404-6724
(601) 323-1237
(240) 255-8442
Mailing address
390 S TYNDALL PKWY, PMB 104, PANAMA CITY, FL 32404-6724
(601) 323-1237
(240) 255-8442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3322862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3412
BCBS
FL
Enumeration date
08/14/2006
Last updated
07/08/2007
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