Individual
MRS. PAMELA A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2130 E JACKSON BLVD, JACKSON, MO 63755-2907
(573) 243-3115
Mailing address
1364 CTY RD 432, JACKSON, MO 63755
(573) 266-0156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
086463
MO
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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