Lewis, Lucreasie
Lewis, Lucreasie is an individual health care provider with primary practice located at 441 Gorman Hollow Rd , Hazard KY 41701-2315. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Lewis, Lucreasie can be contacted via phone (606) 439-2361.Contact Information
Primary practice address
441 Gorman Hollow Rd
Hazard KY 41701-2315
Phone: (606) 439-2361
Fax: (606) 439-0870
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Community Health | 163WC1500X | 1058965 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 2973P | Kentucky |
Profile Details
NPI number | 1821070053 |
---|---|
LBN Legal business name | Lewis, Lucreasie |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Jan 28th, 2020 - about 4 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821070053 | NPPES |
Kentucky | Other | 000000112279 | ANTHEM BC BS |
Kentucky | MEDICAID | 20036018 | ANTHEM BC BS |
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