Individual
DR. WILLIE JAMES LEWIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
128 POINDEXTER ST, JACKSON, MS 39203-3048
(601) 355-0026
(601) 355-0069
Mailing address
128 POINDEXTER ST, JACKSON, MS 39203-3048
(601) 355-0026
(601) 355-0069
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
80062
MS
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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