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

Randy Allen Lewis

Individual provider Licensed Practical Nurse · NPI 1083322572

Randy Allen Lewis is a Licensed Practical Nurse in Lavale, Maryland. Licensed in Maryland. Registered with an NPI since 2022.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

14701 National Hwy SW
Lavale, MD 21502-6573
Phone: (301) 687-0940
Fax: (301) 687-0948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP55952 (MD)

Record details

NPI number1083322572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address14701 National Hwy Sw, Lavale, MD 21502-6573

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