Individual
DR. LEWIS A JORDAN
Active
Individual
DR. LEWIS A JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125074549
IL
2085R0202X
Diagnostic Radiology Physician
Primary
83475
WI
Other
Enumeration date
06/08/2019
Last updated
06/21/2024
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