Individual
MARTINIQUE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
941 LAKE VILLAGE DR APT B, CHESAPEAKE, VA 23323-4721
(502) 939-0788
Mailing address
941 LAKE VILLAGE DR APT B, CHESAPEAKE, VA 23323-4721
(502) 939-0788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179668
VA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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