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NPI Code Detail

MEDICARE: MRS. INGRID ANJANETTE LEWIS RN

MEDICARE:  MRS. INGRID ANJANETTE LEWIS  RN
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
1163W00000XRegistered NurseRN366181OH

General Provider Information

NPI Number : 1659508729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. INGRID ANJANETTE LEWIS RN
Provider Business Mailing Address
First Line : 3350 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1173
Country : US
Telephone Number : 419-255-9585
Fax Number :
Provider Business Practice Location Address
First Line : 3350 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1173
Country : US
Telephone Number : 419-255-9585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2009
Last Update Date : 02/28/2013

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Directions to “ MRS. INGRID ANJANETTE LEWIS RN” Practice Location

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