Individual
JORDAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Mailing address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257444-30
WI
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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