Individual
PATRICIA ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 S FRONTAGE RD STE 100, VICKSBURG, MS 39180-5883
(601) 262-1000
Mailing address
127 LINCOLN PL, JACKSON, MS 39213-3131
(503) 523-9732
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00717
MS
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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