Individual
DR. JEFFREY LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9 ALTA RD, HANOVER TOWNSHIP, PA 18706-6070
(570) 820-8220
Mailing address
9 ALTA RD, HANOVER TOWNSHIP, PA 18706-6070
(570) 820-8220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-007300L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
976636
BLUE SHIELD
PA
Enumeration date
11/17/2005
Last updated
07/08/2007
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