Individual provider · Type 1 NPI

Jenna Lyanne Lewis, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1023305083 Active

Practice location

1611 NW 12th Ave, C-301
Miami, FL 33136-1005

Fax (305) 545-6501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X15312 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023305083

Jenna Lyanne Lewis, MD's National Provider Identifier is 1023305083, issued on Jun 28, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Jun 28, 2011.