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NPI Code Detail

MEDICARE: PAMELA KATHRYN LEWIS

MEDICARE: PAMELA KATHRYN 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1659158715
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA KATHRYN LEWIS
Provider Business Mailing Address
First Line : 1701 E KATIE AVE APT 72
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5627
Country : US
Telephone Number : 702-559-1959
Fax Number :
Provider Business Practice Location Address
First Line : 625 N LAMB BLVD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6355
Country : US
Telephone Number : 702-331-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/12/2023

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Directions to “ PAMELA KATHRYN LEWIS ” Practice Location

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