Doctor Name: | MRS. DEBRA KAY LEWIS |
NPI Number: | 1114344512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN, FNP-C |
License Number: | COA.15728-NP |
Business Practice Address: | 1261 Wooster Rd Suite 200 Millersburg, OH - 446541568 |
Business Phone Number: | 3306743333 |
Business Fax Number: | 3307632063 |
Mailing Address: | Po Box 186, JEROMESVILLE |
State: | OH |
Postal Code: | 448400186 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.15728-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |