Jacob Ogden Lewis, PA-C

NPI #1932764297 in Lovelock, Nevada

Provider Information

NPI Number: 1932764297
Entity Type: Individual
Name: Jacob Ogden Lewis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 2, 2019
Last Updated: Jun 26, 2024

Practice Location

Address: 850 6TH ST
City: Lovelock
State: Nevada
ZIP Code: 89419-8020
Phone: (775) 273-2918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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