Individual
MS. MADELINE BENNETT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1366 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8608
Mailing address
4417 RIVER RIDGE RD, LEXINGTON, KY 40515-6084
(859) 285-8197
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1133663
KY
363L00000X
Nurse Practitioner
Primary
3016533
KY
Other
Enumeration date
10/18/2021
Last updated
02/18/2022
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