Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY LANE LEWIS, PA
ActiveJERRY LANE LEWIS, PA is a Medical Physician Assistant healthcare provider located in PLANADA, California. NPI 1801879341 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PLANADA, CA
Registration Details
- NPI Number
- 1801879341
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2005 (20.691676960218 yrs)
- Last Updated
- Mar 7, 2023
- License
-
PA11479 (CA)
Practice Information
- Address
-
9235 E BROADWAY STPLANADA, CA, 953658088Browse CA providers · Browse ZIP 95365
- Phone
- 2093820253
- Fax
- 2093822110
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.