Untress A Lewis LPN

NPI 1023165511 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1023165511
Gender Female
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2250 WEHRLE DR
WILLIAMSVILLE NY, 14221-7037, US
Phone (716) 276-2123
Fax (716) 276-2129
Business Location
507 HIGH ST
BUFFALO NY, 14211-2941, US
Phone (716) 885-7167
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 283686
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According to our database, Untress A Lewis LPN NPI is 1023165511, taxonomy code is 164W00000X and license number is 283686, license state is located at New York. Untress A Lewis LPN physically located at 2250 Wehrle Dr, Williamsville NY, 14221-7037. NPI Number Untress A Lewis LPN has the Individual type.

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1023165511 NPI number is provided on an as is basis without warranty of any kind. 1023165511 is maintained by the National Plan & Provider Enumeration System. The contents of Untress A Lewis LPN are for informational purposes only.