Jillann Lewis

NPI #1205197092 in Saint Albans, New York

Provider Information

NPI Number: 1205197092
Entity Type: Individual
Name: Jillann Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 7, 2012
Last Updated: Jun 7, 2012

Practice Location

Address: 19030 118TH AVE
City: Saint Albans
State: New York
ZIP Code: 11412-3341
Phone: (917) 592-2506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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