Individual
OLIVIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7935 VICTORY ST, VICKSBURG, MI 49097-9394
(269) 568-7629
Mailing address
7935 VICTORY ST, VICKSBURG, MI 49097-9394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704377210
MI
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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