JEREMY LEWIS MD NPI 1194465658

NPI Information

Jeremy Lewis, MD is a student in an organized health care education training program in Waterbury, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jeremy Lewis, MD NPI is 1194465658. 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:

56 FRANKLIN ST
WATERBURY, CT
ZIP 06706-253
Phone: (203) 709-6479

The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.

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:

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