person
Mikala Montine Lewis, NP
Adult Health Nurse Practitioner in Granite City, Illinois
NPI 1629542857

Mikala Montine Lewis is an Adult Health Nurse Practitioner based in Granite City, IL and is specialized in Adult Health. Mikala Montine Lewis practices in Granite City, IL and has the professional credentials of NP. The NPI Number for Mikala Montine Lewis is 1629542857 and holds a License No. 2018038103 (Illinois).

The current practice location address for Mikala Montine Lewis is 4816 Bailey Dr, Granite City, IL and can be reached out via phone at 618-791-6926.

Location: 4816 Bailey Dr, Granite City, IL, 62040-2681
person
Provider Profile Details
NPI Number
1629542857
Provider Name
Mikala Montine Lewis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4816 Bailey Dr, Granite City, IL, 62040-2681
Phone Number
618-791-6926
Fax Number
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4816 Bailey Dr
City
State
Zip
62040-2681
Phone Number
618-791-6926
Fax Number
person
Provider Business Mailing Address Details
Address
4816 Bailey Dr
City
State
Zip
62040-2681
Phone Number
618-791-6926
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2018038103 (Missouri)
Definition
Definition to come...
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