Jack K Lewis MD PC

NPI #1760563373 in Omaha, Nebraska

Provider Information

NPI Number: 1760563373
Entity Type: Organization
Organization Name: Jack K Lewis MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 18, 2006
Last Updated: Sep 9, 2013

Practice Location

Address: 220 N 89TH ST
Address 2: SUITE 101
City: Omaha
State: Nebraska
ZIP Code: 68114-4072
Phone: (402) 393-3616

Authorized Official

Name: JACK K LEWIS, MD
Title: PRESIDENT
Phone: (402) 393-3616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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