Individual
LORRAINE A JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2301 S BROAD ST, MEDICAL STAFF OFFICE, DEPT OF SURGERY, PHILADELPHIA, PA 19148-3542
(215) 952-9000
(215) 952-1246
Mailing address
2301 S. BROAD STREET, MEDICAL STAFF OFFICE, DEPT OF SURGERY, PHILADELPHIA, PA 19148
(215) 952-9000
(215) 952-1246
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA001958L
PA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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