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Individual

JULIE JACKSON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP128105
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN176488
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
369098403
TX
05
369098404
TX
Enumeration date
03/21/2012
Last updated
10/28/2022
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