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1750822243
KATHY L LEWIS
URBANA, IL
NPI
1750822243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209015753)
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- KATHY L LEWIS NP
611 W PARK ST CARDIOLOGY
URBANA, IL 61801-2529
Phone number: 217-383-3210
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Mailing Address
-- KATHY L LEWIS NP
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6941
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