Individual
MRS. JACQUELYN MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(885) 480-9150
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(885) 480-9150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008503
MI
Other
Enumeration date
12/21/2017
Last updated
03/20/2025
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