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Individual

MR. LONAS EDWARD LEWIS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
3251 INNER PERIMETER RD STE B, VALDOSTA, GA 31602-1026
(229) 259-0006
(229) 259-0803
Mailing address
2618 DIANA CIR, TIFTON, GA 31794-1416
(229) 382-4528

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3837
GA

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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