Individual
MACKENZIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2459 MOUNT VICTOR LN, BOWLING GREEN, KY 42103-9061
(270) 935-5234
(270) 935-5173
Mailing address
2459 MOUNT VICTOR LN, BOWLING GREEN, KY 42103-9061
(270) 935-5234
(270) 935-5173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015468
KY
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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