Individual provider · Type 1 NPI
Jillann Lewis
Specialist · St. Albans, NY
NPI number
1205197092
Active
Practice location
19030 118th Ave
St. Albans, NY 11412-3341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 751267 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1205197092
Jillann Lewis's National Provider Identifier is 1205197092, issued on Jun 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Albans, NY. The record was last updated on Jun 7, 2012.