Mary Lewis, C-FNP

NPI 1578579470 · on the registry since 2006

Practice

Address: 5401 N Knoxville Ave Ste 208
Peoria, IL 61614
Phone: (309) 672-4908
Organisation at this address: Patti L Ally
C E Myers Md
Frank I Russo
Champion Fitness, Inc
Proctor Health Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 64

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363L00000X
363LG0600X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois