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NPI Profile for JEWELL D LEWIS in PORT SAINT LUCIE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1841755782 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/05/2019 | |
| Last updated | 02/05/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEWELL D LEWIS
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JEWELL D LEWIS