Individual
BILLIE LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
792 GALLITZIN RD, CRESSON, PA 16630-2213
(814) 886-8161
(814) 886-2955
Mailing address
818 HEMLOCK ST, GALLITZIN, PA 16641-1223
(814) 932-0804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002561L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA002561L
LICENSE
PA
Enumeration date
04/28/2009
Last updated
12/01/2011
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