Individual
MELISSA R LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14812 STATE ROUTE 162 E, ORTING, WA 98360-9510
(360) 872-0243
(360) 872-8094
Mailing address
15827 92ND AVENUE CT E, PUYALLUP, WA 98375-6701
(701) 213-5471
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60137128
WA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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