Laura L Lewis, RNFA, APRN
Nurse Practitioner, Acute Care in Lakeland, FL. Individual provider (NPI-1).
NPI number1619227022
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1619227022
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laura L Lewis
- Credential
- RNFA, APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2012
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | APRN11001289 | FL | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN3244882 | FL | |
| 363LA2200X | Nurse Practitioner, Adult Health | APRN11001289 | FL |
Practice location
1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone 863-687-1321
Mailing address
1324 Lakeland Hills Blvd.Attn: Managed Care Dept.
Lakeland, FL 33805
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