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Organization
JOHNATHAN LEWIS MD PLLC
Active
Organization
JOHNATHAN LEWIS MD PLLC
Active
Other names
The Lewis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN LEWIS MD (OWNER)
(870) 836-5709
Entity
Organization
Contact information
Practice address
430 MAGNOLIA RD, CAMDEN, AR 71701-4146
(870) 836-5709
(870) 836-5837
Mailing address
430 MAGNOLIA RD, CAMDEN, AR 71701-4146
(870) 836-5709
(870) 837-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2020
Last updated
08/27/2024
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