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
Fax: (606) 439-0870
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821070053 NPPES
Kentucky Other 000000112279 ANTHEM BC BS
Kentucky MEDICAID 20036018 ANTHEM BC BS

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