Individual
TAMMIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 MOHICAN ST, PHILADELPHIA, PA 19138-1125
(215) 939-2603
Mailing address
1631 MOHICAN ST, PHILADELPHIA, PA 19138-1125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN297669
PA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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