Individual
MR. JEFFREY DAVID LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 VA CTR, BLD 200 RM 452, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
256 CAPEN RD, GARDINER, ME 04345-6510
(207) 582-3448
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P00360
ME
363LA2200X
Adult Health Nurse Practitioner
R028292
ME
Other
Enumeration date
07/26/2006
Last updated
09/11/2025
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