Individual
JOHN MARSHALL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN FNP-C
Contact information
Practice address
30239 E 69TH PL S, BROKEN ARROW, OK 74014-5483
(918) 289-8154
Mailing address
30239 E 69TH PL S, BROKEN ARROW, OK 74014-5483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01230016
OK
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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