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Contact Information

ANGELIQUE LEWIS
820 N PLANKINTON AVE
MILWAUKEE, WI53203-1802
 Phone: 414-225-1568
 Fax: 414-225-1575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANGELIQUE LEWIS · (Female)

NPI Number 1295979714
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2009
Last updated 01/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2880-57
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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