Provider Demographics
NPI:1912722232
Name:KRIEWS, LEXI
Entity type:Individual
Prefix:
First Name:LEXI
Middle Name:
Last Name:KRIEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4369 BIRCH MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-9315
Mailing Address - Country:US
Mailing Address - Phone:678-896-9774
Mailing Address - Fax:
Practice Address - Street 1:4369 BIRCH MEADOW TRL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-9315
Practice Address - Country:US
Practice Address - Phone:678-896-9774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant