Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18275 S BURR ST, LOWELL, IN 46356-0020
(219) 696-6750
(219) 696-6810
Mailing address
18275 S BURR ST, LOWELL, IN 46356-0020
(219) 696-6750
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28195966A
IN
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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