Doctor Name: | SANDRA LEWIS |
NPI Number: | 1407210628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4703064173 |
Business Practice Address: | 8033 E 10 Mile Rd Center Line, MI - 480151427 |
Business Phone Number: | 5867566661 |
Business Fax Number: | 5867566933 |
Mailing Address: | 8033 E 10 Mile Rd, CENTER LINE |
State: | MI |
Postal Code: | 480151427 |
Phone Number: | 5867566661 |
Fax Number: | 5867566933 |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 4703064173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |