Individual
JOHNNIE ROGER LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN160482
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP9910
AZ
Other
Enumeration date
02/12/2017
Last updated
02/12/2025
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