Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 1-133993 | AL |
NPI | 1205588381 |
---|---|
Provider Name | Lauren Ashley Lewis |
First Address | Hoover, AL 35226-7005 |
Second Address | Birmingham, AL 35209-6804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2022 |
Last Update Date | 20/01/2022 |