Individual
ELIZABETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
374 VATH ST, JACKSON, NJ 08527-5216
(908) 907-3455
Mailing address
374 VATH ST, JACKSON, NJ 08527-5216
(908) 907-3455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR21392600
NJ
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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