Lewis, Nicole Supreme

Lewis, Nicole Supreme is an individual health care provider with primary practice located at 214 Cresap St , Lakeland FL 33815-4704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromuscular Medicine, which is considered as her primary health care specialty. Lewis, Nicole Supreme can be contacted via phone (813) 666-9505.

Contact Information

Primary practice address
214 Cresap St Lakeland FL 33815-4704
Phone: (813) 666-9505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X MA68381 Florida

Profile Details

NPI number 1023457843
LBN Legal business name Lewis, Nicole Supreme
Credentials MMP,LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2013
Last updated Jun 15th, 2013 - about 13 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.

Request for update

Popular Providers