Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Supreme Lewis, MMP, LMT

Individual provider Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1023457843

Nicole Supreme Lewis, MMP, LMT is a Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

214 Cresap St
Lakeland, FL 33815-4704
Phone: (813) 666-9505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081N0008X · Licence MA68381 (FL)

Record details

NPI number1023457843
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMP , LMT
Sole proprietorNo
NPI enumeratedJune 15, 2013
Last updated in NPPESJune 15, 2013

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