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Individual

CANDICE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6265
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
2009019121
MO
163WW0000X
Wound Care Registered Nurse
Primary
108610
KS

Other

Enumeration date
09/26/2024
Last updated
09/26/2024
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