Individual provider · Type 1 NPI

Randy Allen Lewis

Licensed Practical Nurse · Lavale, MD

NPI number 1083322572 Active

Practice location

14701 National Hwy SW
Lavale, MD 21502-6573

Call (301) 687-0940 Map

Fax (301) 687-0948

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP55952 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1083322572

Randy Allen Lewis's National Provider Identifier is 1083322572, issued on Nov 14, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lavale, MD. The record was last updated on Nov 14, 2022.