Individual
MARION Z LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 874-0600
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-0567
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
165369
NC
Other
Enumeration date
05/25/2017
Last updated
05/24/2019
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