CONNOR LEWELLEN NPI 1679279012

NPI Information

  • NPI: 1679279012
  • Provider Name: CONNOR LEWELLEN
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7243 DELLA DR FL 3
    ORLANDO, FL
    ZIP 32819
  • Phone: (321) 843-5851

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NPI Details

Connor Lewellen is a surgical physician assistant in Orlando, FL with 2 years of experience. Connor Lewellen NPI is 1679279012. 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:

7243 DELLA DR FL 3
ORLANDO, FL
ZIP 32819-104
Phone: (321) 843-5851
Fax: (321) 842-0089

The NPI 1679279012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2023 and was last updated on 2/5/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363AS0400XPhysician AssistantSurgicalPA9117576FLORIDAYes

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: 11/21/2025

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