Jimmy Lewis is a Driver based in Siloam Springs, OK. Jimmy Lewis practices in Watts, OK. The NPI Number for Jimmy Lewis is 1922632207 and holds a License No. (Oklahoma).
The current practice location address for Jimmy Lewis is 399 Tillery Ln, Watts, OK and can be reached out via phone at 918-422-0028 and via fax at 918-422-0027.
Location: 399 Tillery Ln, Watts, OK, 72761-0241
Provider Profile Details
NPI Number
1922632207
Provider Name
Jimmy Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
399 Tillery Ln, Watts, OK, 72761-0241
Phone Number
918-422-0028
Fax Number
918-422-0027
Provider Enumeration Date
02/26/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
399 Tillery Ln
City
State
Zip
74964-5072
Phone Number
918-422-0028
Fax Number
918-422-0027
Provider Business Mailing Address Details
Address
399 Tillery Ln
City
State
Zip
74964-5072
Phone Number
918-422-0028
Fax Number
918-422-0027
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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