Individual
MRS. JEANNE ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
5700 ARNOLD ST, BLDG 5801, TINKER AFB, OK 73145-8105
(405) 736-4500
(405) 736-2677
Mailing address
5700 ARNOLD ST, BLDG 5801, TINKER AFB, OK 73145-8105
(405) 736-4500
(405) 736-2677
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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