Individual
JEREMY J. LEWIS
Active
Individual
JEREMY J. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD2014-0073
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026534
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
04/12/2022
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