| NPI | 1811172323 |
|---|---|
| Other Name | LAVERN ANGELA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9189456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9189456) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2024-06-14 |