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Organization
LEWJACK ASSISTING LLC
Active
Organization
LEWJACK ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS JACKSON DORRANCE PA-C (PRESIDENT)
(561) 743-7030
Entity
Organization
Contact information
Practice address
4416 NICOLE CIR, TEQUESTA, FL 33469-2574
(561) 743-7030
(561) 743-7030
Mailing address
4416 NICOLE CIR, TEQUESTA, FL 33469-2574
(561) 743-7030
(561) 743-7030
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 2335
FL
Other
Enumeration date
05/26/2010
Last updated
05/30/2023
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