JERRY LANE LEWIS PA NPI 1801879341

NPI Information

NPI: 1801879341
Provider Name: JERRY LANE LEWIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
9235 E BROADWAY ST
PLANADA, CA
ZIP 95365
Phone: (209) 382-0253
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Jerry Lane Lewis, PA is a medical physician assistant in Planada, CA. Jerry Lane Lewis, PA NPI is 1801879341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9235 E BROADWAY ST
PLANADA, CA
ZIP 95365-088
Phone: (209) 382-0253
Fax: (209) 382-2110

The enumeration date for this NPI number is 11/29/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11479	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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