Individual
NICOLE LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8000
Mailing address
2801 SEMINARY CIR, GARLAND, TX 75043-1210
(972) 762-4153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28035
NV
207P00000X
Emergency Medicine Physician
BP10064725
TX
207P00000X
Emergency Medicine Physician
MD24687
ME
207P00000X
Emergency Medicine Physician
MD61680686
WA
207P00000X
Emergency Medicine Physician
T0554
TX
Other
Enumeration date
04/23/2018
Last updated
02/10/2026
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