person
Jerry Lane Lewis, PA
Medical Physician Assistant in Planada, California
NPI 1801879341

Jerry Lane Lewis is a Medical Physician Assistant based in Merced, CA and is specialized in Medical. Jerry Lane Lewis practices in Planada, CA and has the professional credentials of PA. The NPI Number for Jerry Lane Lewis is 1801879341 and holds a License No. PA11479 (California).

The current practice location address for Jerry Lane Lewis is 9235 E Broadway St, Planada, CA and can be reached out via phone at 209-382-0253 and via fax at 209-382-2110.

Location: 9235 E Broadway St, Planada, CA, 95340-6805
person
Provider Profile Details
NPI Number
1801879341
Provider Name
Jerry Lane Lewis
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9235 E Broadway St, Planada, CA, 95340-6805
Phone Number
209-382-0253
Fax Number
209-382-2110
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9235 E Broadway St
City
State
Zip
95365-8088
Phone Number
209-382-0253
Fax Number
209-382-2110
person
Provider Business Mailing Address Details
Address
9235 E Broadway St
City
State
Zip
95365-8088
Phone Number
209-382-0253
Fax Number
209-382-2110
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA11479 (California)
Definition
Definition to come...
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