Individual
JENNIFER L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
157 WATERDAM RD STE 120, MC MURRAY, PA 15317-2573
(724) 941-6697
(724) 941-7563
Mailing address
157 WATERDAM RD STE 120, MC MURRAY, PA 15317-2573
(724) 941-6697
(724) 941-7563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD069652L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001808956
—
PA
Enumeration date
08/04/2005
Last updated
10/07/2020
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