Individual
LUCREASIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
441 GORMAN HOLLOW RD, HAZARD, KY 41701-2315
(606) 439-2361
(606) 439-0870
Mailing address
441 GORMAN HOLLOW RD, HAZARD, KY 41701-2315
(606) 439-2361
(606) 439-0870
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
1058965
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
2973P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112279
ANTHEM BC BS
KY
05
—
20036018
—
KY
Enumeration date
11/15/2005
Last updated
01/28/2020
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