Healthcare Provider Details

I. General information

NPI: 1073959730
Provider Name (Legal Business Name): KARA M LEWIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA DEJESUS LEWIS RN

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S GEORGE ST
YORK PA
17401-1474
US

IV. Provider business mailing address

116 S GEORGE ST
YORK PA
17401-1474
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-8617
  • Fax:
Mailing address:
  • Phone: 717-845-8617
  • Fax: 717-544-4312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN576247
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: