Lewis, Mary F.

Lewis, Mary F. is an individual health care provider with primary practice located at Gaylord Farms Rd. , Wallingford CT 06492. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lewis, Mary F. can be contacted via phone (203) 284-2800.

Contact Information

Primary practice address
Gaylord Farms Rd. Wallingford CT 06492
Phone: (203) 284-2800
Fax: (203) 679-3598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 001305 Connecticut

Profile Details

NPI number 1558450361
LBN Legal business name Lewis, Mary F.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 7th, 2023 - about 2 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 1558450361 NPPES
Connecticut Other 029407 SUBSTANCE CONTROLLED LIC.
Connecticut Other 001305 SUBSTANCE CONTROLLED LIC.

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