person
Mr. Peter Wallace Lewis, PA-C
Surgical Physician Assistant in Sesser, Illinois
NPI 1205932944

Peter Wallace Lewis is a Surgical Physician Assistant based in Christopher, IL and is specialized in Surgical. Peter Wallace Lewis practices in Sesser, IL and has the professional credentials of PA-C. The NPI Number for Peter Wallace Lewis is 1205932944 and holds a License No. PA01533 (Illinois).

The current practice location address for Peter Wallace Lewis is 6294 State Highway 154, Sesser, IL and can be reached out via phone at 618-625-6979.

Location: 6294 State Highway 154, Sesser, IL, 62822-0155
person
Provider Profile Details
NPI Number
1205932944
Provider Name
Peter Wallace Lewis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6294 State Highway 154, Sesser, IL, 62822-0155
Phone Number
618-625-6979
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6294 State Highway 154
City
State
Zip
62884-2163
Phone Number
618-625-6979
Fax Number
person
Provider Business Mailing Address Details
Address
6294 State Highway 154
City
State
Zip
62884-2163
Phone Number
618-625-6979
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA01533 (Texas)
Definition
Definition to come...
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