Mary Magdalene Russell Lewis, RN

NPI #1215570981 in Freeport, New York

Provider Information

NPI Number: 1215570981
Entity Type: Individual
Name: Mary Magdalene Russell Lewis, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Oct 24, 2019
Last Updated: Oct 24, 2019

Practice Location

Address: 396 S OCEAN AVE
City: Freeport
State: New York
ZIP Code: 11520-5512
Phone: (516) 965-0709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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