NPI 1023457843

Nicole Supreme Lewis, MMPLMT

Practitioner Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Lakeland, FL

Practice location

Address: 214 Cresap St, Lakeland, FL 33815-4704
Phone: (813) 666-9505

Registered specialties

Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081N0008X Licence MA68381 (FL)

Other Physical Medicine & Rehabilitation providers in Florida →

Registry record

NPI: 1023457843
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2013
Record last updated: 15 Jun 2013

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.