Individual
JAYCI R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1407 N WHISENANT DR, DUNCAN, OK 73533-1650
(580) 251-8440
Mailing address
6517 NW 149TH ST, OKLAHOMA CITY, OK 73142-7870
(405) 249-3018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
05/23/2019
Last updated
04/21/2021
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