Individual
MRS. NIKEO NICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2322 196TH ST SW STE 100, LYNNWOOD, WA 98036-7010
(425) 672-7293
Mailing address
1102 RUSHING AVE, HATTIESBURG, MS 39402-2640
(504) 206-7924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336525
MS
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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