Individual
DR. JESSICA BETH LEWIS
Active
Individual
DR. JESSICA BETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS016204
PA
207Q00000X
Family Medicine Physician
OT012533
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS016204
PA
Other
Enumeration date
12/05/2008
Last updated
12/14/2016
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