ETHAN TAYLOR LEWIS

LITTLE ROCK, AR
NPI1013690288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1138854)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AR  R108058)
Enumeration Date2023-08-14
Last Update Date2023-10-17
Business Address
Dr. ETHAN TAYLOR LEWIS DNP
12921 CANTRELL RD
LITTLE ROCK, AR 72223-1713
Phone number: 501-615-8296
Mailing Address
Dr. ETHAN TAYLOR LEWIS DNP
12921 CANTRELL RD
LITTLE ROCK, AR 72223-1713
Phone number: 501-615-8296