Individual
KOURTNI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
801 W OAK ST STE 101, KISSIMMEE, FL 34741-6605
(407) 846-3455
(407) 846-3670
Mailing address
801 W OAK ST STE 101, KISSIMMEE, FL 34741-6605
(407) 846-3455
(407) 846-3670
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11032063
FL
Other
Enumeration date
03/28/2024
Last updated
10/30/2024
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