Provider Demographics
NPI:1891440830
Name:LEWIS HEALTHCARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:LEWIS HEALTHCARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LAVERN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEWIS ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:954-795-4293
Mailing Address - Street 1:2084 NW 193RD AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4615
Mailing Address - Country:US
Mailing Address - Phone:954-795-4293
Mailing Address - Fax:
Practice Address - Street 1:2084 NW 193RD AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-4615
Practice Address - Country:US
Practice Address - Phone:954-795-4293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service