Individual
MRS. KATIE LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 E BATTLEFIELD ST STE 124, SPRINGFIELD, MO 65807-5208
(417) 986-1289
Mailing address
900 E BATTLEFIELD ST STE 124, SPRINGFIELD, MO 65807-5208
(417) 986-1289
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
AP8859
AZ
363L00000X
Nurse Practitioner
AP8859
AZ
363LF0000X
Family Nurse Practitioner
Primary
2017025483
MO
363LF0000X
Family Nurse Practitioner
AP8859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184503
—
AZ
Enumeration date
08/18/2016
Last updated
06/11/2019
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