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Individual

MS. ANDREA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
4928 CLOVER PL, ALTA LOMA, CA 91737-2469
(909) 948-5670
Mailing address
4928 CLOVER PL, ALTA LOMA, CA 91737-2469
(909) 948-5670

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
16001
CA

Other

Enumeration date
04/09/2007
Last updated
04/19/2010
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