Tracey Lee Lewis, PA-C

NPI #1528439346 in Decatur, Illinois

Provider Information

NPI Number: 1528439346
Entity Type: Individual
Name: Tracey Lee Lewis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 20, 2015
Last Updated: Oct 22, 2020

Practice Location

Address: 102 W KENWOOD AVE STE 100
City: Decatur
State: Illinois
ZIP Code: 62526
Phone: (217) 872-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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