Individual
DR. JEFFREY E. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
212 SOUTH WASHINGTON, MAGNOLIA, AR 71753-2669
(870) 235-3100
(870) 235-3101
Mailing address
212 SOUTH WASHINGTON, MAGNOLIA, AR 71753-2669
(870) 235-3100
(870) 235-3101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1645
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158872718
—
AR
01
—
5Y424
BCBS PIN
AR
Enumeration date
07/08/2005
Last updated
09/25/2008
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