| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JUDITH K LEWIS | 1588364640 | 2024-10-13 |
Judith K Lewis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588364640. Registration indicates Judith K Lewis is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Judith K Lewis FNP |
| Practice Office Address | 1629 W AVENUE J STE 106 LANCASTER, CA US |
| Practice Office Telephone | 6613103757 |
| Mailing Address | 36827 FELICITAS AVE PALMDALE, CA 935517808 US |
| Business Telephone | 6614065882 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 95024104
CA |
| 95024104 | OTHER | CA | NP LICENSE |