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Individual
MR. PHILLIP E LEWELLEN
Active
Individual
MR. PHILLIP E LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
551
TN
363AS0400X
Surgical Physician Assistant
Primary
551
TN
Other
Enumeration date
11/04/2005
Last updated
03/13/2019
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