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NPI Code Detail

MEDICARE: MARIE ANGELA LEWIS

MEDICARE: MARIE ANGELA LEWIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult CompanionNV
23747A0650XAttendant Care ProviderNV
3376J00000XHomemakerNV
43747P1801XPersonal Care AttendantNV
5372500000XChore ProviderNV

General Provider Information

NPI Number : 1083115927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE ANGELA LEWIS
Provider Business Mailing Address
First Line : 4808 ALAMEDA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-3553
Country : US
Telephone Number : 702-743-9519
Fax Number :
Provider Business Practice Location Address
First Line : 6725 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3948
Country : US
Telephone Number : 702-331-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 02/26/2018

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Directions to “ MARIE ANGELA LEWIS ” Practice Location

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