NPI 1013463611
Violet Star Lewis
Practice location
- Address
- 5025 S Johnny Run Rd, Kinsman, IL 60437-4022
- Phone
- (815) 999-1855
- Mailing address
- 5025 S. Johnny Run Rd., Kinsman, IL 60437
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1013463611
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Sep 2016
- Record last updated
- 1 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.