Individual
MRS. TRACY LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
907 WEST ST, LAUREL, DE 19956-1931
(302) 645-3300
Mailing address
907 WEST ST, LAUREL, DE 19956-1931
(302) 645-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0027915
DE
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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