AGNES CHAN LEWIS

BRIDGETON, MO
NPI1821360454
Former NameAGNES TANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2011034516)
Enumeration Date2012-01-27
Last Update Date2020-11-05
Business Address
AGNES CHAN LEWIS ANP
12266 DE PAUL DR STE 205
BRIDGETON, MO 63044-2514
Phone number: 314-218-2300
Mailing Address
AGNES CHAN LEWIS ANP
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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