Individual
JACQUELINE CELINA DRUMMOND-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2735 SILVER CREEK ROAD, BULLHEAD CITY, AZ 86442-7942
(928) 763-2273
(928) 763-0223
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
040282
CT
207L00000X
Anesthesiology Physician
Primary
50275
AZ
207L00000X
Anesthesiology Physician
A96586
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
50275
AZ
208VP0000X
Pain Medicine Physician
50275
AZ
208VP0014X
Interventional Pain Medicine Physician
50275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402825
—
CT
Enumeration date
11/21/2005
Last updated
03/17/2018
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