Organization
JAWAUN MICHAEL LEWIS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWAUN MICHAEL LEWIS DO (OWNER)
(405) 579-5858
Entity
Organization
Contact information
Practice address
3280 MARSHALL AVENUE, NORMAN, OK 73072-8028
(405) 579-5858
(405) 292-1787
Mailing address
3280 MARSHALL AVENUE, NORMAN, OK 73072-8028
(405) 579-5858
(405) 292-1787
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4092
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034410B
—
OK
Enumeration date
06/16/2008
Last updated
09/28/2010
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