Jerry Lane Lewis, PA
NPI #1801879341 in Planada, California
Provider Information
- NPI Number
- 1801879341
- Entity Type
- Individual
- Name
- Jerry Lane Lewis, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Nov 29, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 9235 E BROADWAY ST
- City
- Planada
- State
- California
- ZIP Code
- 95365-8088
- Phone
- (209) 382-0253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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