Individual provider · Type 1 NPI
Jerry Lane Lewis, PA
Medical Physician Assistant · Planada, CA
NPI number
1801879341
Active
Practice location
9235 E Broadway St
Planada, CA 95365-8088
Fax (209) 382-2110
Mailing address
737 W Childs Ave
Merced, CA 95340-6805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA11479 (CA) |
Medical Physician Assistant: Definition to come...
8 other providers at this address
- Golden Valley Health CenterFederally Qualified Health Center (FQHC) Planada, CA NPI 1235114745
- Eva Lomeli, LCSWClinical Social Worker Planada, CA NPI 1396145611
- Jelin Yen Truong, MDFamily Medicine Physician Planada, CA NPI 1124002688
- John Edward Wanzo, DDSDentist Planada, CA NPI 1669587382
- Maxine Mary Fotadar, DDSGeneral Practice Dentistry Planada, CA NPI 1952660326
- Ramaa Maruthachalam, MDFamily Medicine Physician Planada, CA NPI 1437369170
- Shirley Ann Perido Pasia, NPFamily Nurse Practitioner Planada, CA NPI 1679982979
- Stephanie D. Hernandez, AGNPNurse Practitioner Planada, CA NPI 1003380452
About NPI 1801879341
Jerry Lane Lewis, PA's National Provider Identifier is 1801879341, issued on Nov 29, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Planada, CA. The record was last updated on Mar 7, 2023.