Individual
MRS. JOY LYNETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
655 7TH ST BLDG 700/700-A, 78 MDG/SGOPF, ROBINS AFB, GA 31098-2227
(478) 327-8747
Mailing address
306 MONTGOMERY ST, WARNER ROBINS, GA 31088-6791
(850) 543-9486
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6747
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133457A
—
GA
Enumeration date
03/13/2013
Last updated
08/20/2016
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