Individual
JACKSON LEWISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
1300 BADGER ST, LA CROSSE, WI 54601-1502
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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