| NPI | 1013113125 |
|---|---|
| Former Name | LAURA TRYPHENA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q2302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 25691) |
| 208000000X Pediatrics (Licence: GA 94999) | |
| 208000000X Pediatrics (Licence: CA C184554) | |
| 208M00000X Hospitalist (Licence: TX Q2302) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-04-15 |