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Contact Information

NICOLE S LEWIS, MMP,LMT
214 CRESAP ST
LAKELAND, FL33815-4704
 Phone: 813-666-9505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for NICOLE S LEWIS · (Female)

NPI # 1023457843
Status Active
Credentials MMP,LMT
Entity Individual
Enumeration date 06/15/2013
Last updated 06/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # MA68381
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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