Individual
ANGELA R LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1696 W MAIN CIR APT 18, DE PERE, WI 54115-6841
(920) 676-4543
Mailing address
1696 W MAIN CIR APT 18, DE PERE, WI 54115-6841
(920) 676-4543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311320-31
WI
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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