Individual provider · Type 1 NPI

Dorenda Lewis, NP

Adult Health Nurse Practitioner · Chicago, IL

NPI number 1407197841 Active

Practice location

4177 S Archer Ave
Chicago, IL 60632-1849

Mailing address

3170 W 83rd Pl
Chicago, IL 60652-3423

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X209009219 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1407197841

Dorenda Lewis, NP's National Provider Identifier is 1407197841, issued on Mar 11, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Jul 16, 2019.