Individual
MADISON GRACE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
(334) 277-8330
Mailing address
108 LONG BEARD WAY, TROY, AL 36079-2990
(304) 578-9675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-200169
AL
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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