MR. Peter Wallace Lewis, PA-C

NPI #1205932944 in Sesser, Illinois

Provider Information

NPI Number
1205932944
Entity Type
Individual
Name
MR. Peter Wallace Lewis, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Sep 16, 2006
Last Updated
Jan 18, 2012

Practice Location

Address
6294 STATE HIGHWAY 154
City
Sesser
ZIP Code
62884-2163
Phone
(618) 625-6979

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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