Mikala Montine Lewis, NP
NPI #1629542857 in Granite City, Illinois
Provider Information
- NPI Number
- 1629542857
- Entity Type
- Individual
- Name
- Mikala Montine Lewis, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NP
- Enumeration Date
- Jan 22, 2019
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 4816 BAILEY DR
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-2681
- Phone
- (618) 791-6926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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|---|---|
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