| Doctor Name: | AMY SUE LEWIS |
| NPI Number: | 1891079802 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 085207 |
| Business Practice Address: | 34855 N James Ave Ingleside, IL - 600419574 |
| Business Phone Number: | 2244062755 |
| Business Fax Number: | 2625778399 |
| Mailing Address: | 34855 N James Ave, INGLESIDE |
| State: | IL |
| Postal Code: | 600419574 |
| Phone Number: | 2244062755 |
| Fax Number: | 2625778399 |
| NPI Enumeration Date: | 10/10/2011 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 085207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |