Individual
KRISTEN ELIZABETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2900
Mailing address
1746 CEDAR GLEN DR, LIBERTYVILLE, IL 60048-3925
(847) 894-6057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009725
IL
363A00000X
Physician Assistant
8283-23
WI
Other
Enumeration date
02/20/2023
Last updated
03/05/2025
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