Lewis, Letasha

Lewis, Letasha is an sole proprietor health care provider with primary practice located at 900 Ogden Ave # 335 , Downers Grove IL 60515-2829. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lewis, Letasha can be contacted via phone (773) 234-0388.

Contact Information

Primary practice address
900 Ogden Ave # 335 Downers Grove IL 60515-2829
Phone: (773) 234-0388
Fax: (773) 234-0394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16661 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209009526 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277001315 Illinois

Profile Details

NPI number 1033476080
LBN Legal business name Lewis, Letasha
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2012
Last updated Jun 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033476080 NPPES
Illinois MEDICAID 277001315

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