Individual
VICKIE H LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
Mailing address
PO BOX 599, SOUTH PORTSMOUTH, KY 41174-0599
(606) 932-4456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN168568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216315
BCBS
OH
05
—
0755508
—
OH
05
—
7440917800
—
KY
Enumeration date
05/31/2006
Last updated
07/08/2007
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