Lewis, Marianne D

Lewis, Marianne D is an individual health care provider with primary practice located at 9720 S Tryon St , Charlotte NC 28273-6578. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lewis, Marianne D can be contacted via phone (704) 588-7362.

Contact Information

Primary practice address
9720 S Tryon St Charlotte NC 28273-6578
Phone: (704) 588-7362
Fax: (704) 588-9127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 81186 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN 422 South Carolina

Profile Details

NPI number 1407816754
LBN Legal business name Lewis, Marianne D
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1407816754 NPPES
Other D5856 MEDCOST
MEDICAID NP0419 MEDCOST

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