Individual
LEWIS JACKSON DORRANCE
Active
Individual
LEWIS JACKSON DORRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 2335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 2335
STATE LICENCE NUMBER
FL
Enumeration date
10/06/2006
Last updated
06/14/2022
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