Jason Lewis

NPI #1265116834 in Lakeland, Florida

Provider Information

NPI Number
1265116834
Entity Type
Individual
Name
Jason Lewis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 13, 2023
Last Updated
Jun 13, 2023

Practice Location

Address
5115 N SOCRUM LOOP RD APT 123
State
Florida
ZIP Code
33809-4293
Phone
(813) 802-5777

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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