Sandra L Lewis P.A.

NPI 1720010630 - Physician Assistant - 363A00000X

NPI Details
NPI 1720010630
Gender Female
Enumeration Date 07/07/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
31870 E. HIGHWAY 51
COWETA OK, 74429, US
Phone (918) 279-3200
Fax (918) 756-3993
Business Location
PO BOX 400
OKMULGEE OK, 74447-0400, US
Phone (918) 756-3334
Fax (918) 756-3993
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number 656
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According to our database, Sandra L Lewis P.A. NPI is 1720010630, taxonomy code is 363A00000X and license number is 656, license state is located at Oklahoma. Sandra L Lewis P.A. physically located at 31870 E. Highway 51, Coweta OK, 74429. NPI Number Sandra L Lewis P.A. has the Individual type.

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1720010630 NPI number is provided on an as is basis without warranty of any kind. 1720010630 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra L Lewis P.A. are for informational purposes only.