Individual
JARED MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
48 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-8257
(573) 335-8424
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016039248
MO
Other
Enumeration date
11/07/2016
Last updated
01/03/2024
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