| Doctor Name: | MRS. SUSAN AILEEN LEWIS |
| NPI Number: | 1245254119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 1829672 |
| Business Practice Address: | 10000 Bay Pines Blvd St. Petersburg, FL - 33708 |
| Business Phone Number: | 7273986661 |
| Business Fax Number: | |
| Mailing Address: | 12188 Bonnie Ter, Seminole, Florida SEMINOLE |
| State: | FL |
| Postal Code: | 337723423 |
| Phone Number: | 7273913797 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP 1829672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |