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Individual

JOHN C LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
7100 W CENTER RD, OMAHA, NE 68106-2700
(402) 506-9124
(402) 261-0240
Mailing address
7100 W CENTER RD, OMAHA, NE 68106-2700
(402) 506-9124
(402) 261-0240

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
778
NE

Other

Enumeration date
04/21/2006
Last updated
09/01/2016
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