Dr. Angela Nicole Lewis, M.D.
Pediatrics, Neonatal-Perinatal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1508246778
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1508246778
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angela Nicole Lewis
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2015
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 2018007775 | MO | Yes |
| 208000000X | Pediatrics | 2018007775 | MO |
Practice location
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone 314-577-5642 · Fax 314-268-6410
Mailing address
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone 314-577-5642 · Fax 314-268-6410
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