Jamie Lewallen, PA

NPI #1346328408 in Conifer, Colorado

Provider Information

NPI Number: 1346328408
Entity Type: Individual
Name: Jamie Lewallen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 2, 2006
Last Updated: Dec 21, 2020

Practice Location

Address: 26659 PLEASANT PARK RD
City: Conifer
State: Colorado
ZIP Code: 80433-7714
Phone: (303) 647-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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