Jerry Lane Lewis in Merced - Medical

Jerry Lane Lewis - NPI 1801879341

Jerry Lane Lewis is a Medical in Merced, California. Jerry Lane Lewis practices all healthcare services and medical treatments related to Medical. The NPI Number for Jerry Lane Lewis is 1801879341. The last update date is 2023-03-07.

Jerry Lane Lewis's current location address is 737 W Childs Ave, Merced, California. You can contact this provider via phone number 2093831848 and fax number 2093831296. The mailing address for Jerry Lane Lewis is 737 W Childs Ave, Merced, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Lane Lewis
Address 737 W Childs Ave, Merced, California
Phone Number 2093831848
Fax Number 2093831296
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1801879341
Provider Enumeration Date 2005-11-29
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 737 W Childs Ave
City Merced
State California (CA)
Post Code 953406805
Phone Number 2093831848
Fax Number 2093831296

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA11479
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Jerry Lane Lewis

What is the unique 10-digit identification code assigned to Jerry Lane Lewis by the Centers for Medicare & Medicaid Services?

The Jerry Lane Lewis has been issued the NPI (National Provider Identifier) 1801879341, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jerry Lane Lewis's facilities are geographically located?

The facilities of Jerry Lane Lewis are physically situated at the following location: 737 W Childs Ave, Merced, CA, 953406805.

What is the Jerry Lane Lewis's area of specialization and corresponding taxonomy classification?

The Jerry Lane Lewis's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

When did Jerry Lane Lewis receive its 1801879341 assignment?

The Jerry Lane Lewis was assigned its 1801879341 on 2005-11-29, which is the date when this unique identifier was issued to the organization.

When was the information related to Jerry Lane Lewis most recently updated or refreshed?

The details pertaining to the Jerry Lane Lewis, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.

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