Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PETER WALLACE LEWIS, PA-C
ActiveMR. PETER WALLACE LEWIS, PA-C is a Surgical Physician Assistant healthcare provider located in SESSER, Illinois. NPI 1205932944 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SESSER, IL
Registration Details
- NPI Number
- 1205932944
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.899265685532 yrs)
- Last Updated
- Jan 18, 2012
- License
-
PA01533 (TX)
Practice Information
- Address
-
6294 STATE HIGHWAY 154SESSER, IL, 628842163Browse IL providers · Browse ZIP 62884
- Phone
- 6186256979
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.