Most Relevant Information
Provider Data
| NPI Number: | 1003336876 |
| Provider Name: | MARIA R LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN275138 |
Most Important Dates
| Enumeration Date: | 06/22/2017 |
| Last Updated: | 06/22/2017 |
Provider Practice Location
7248 ELMWOOD AVE
PHILADELPHIA
PA
191421533
Practice Location Phone/Fax
| Phone: | 2672922876 |
| Fax: | 2672922876 |
Provider Mailing Location
7248 ELMWOOD AVE
PHILADELPHIA
PA
191421533
Provider Mailing Phone/Fax
| Phone: | 2672922876 |
| Fax: |