Individual
MRS. LATRICE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 975-4249
Mailing address
1204 RIVERFORD DR, HOOVER, AL 35216-6192
(205) 566-8470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-167104
AL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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