Lewis Jackson Dorrance in Tequesta - Surgical

Lewis Jackson Dorrance - NPI 1467549105

Lewis Jackson Dorrance is a Surgical in Tequesta, Florida. Lewis Jackson Dorrance practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lewis Jackson Dorrance is 1467549105. The last update date is 2022-06-14.

Lewis Jackson Dorrance's current location address is 4416 Nicole Cir, Tequesta, Florida. You can contact this provider via phone number 5616032788. The mailing address for Lewis Jackson Dorrance is 4416 Nicole Cir, Tequesta, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lewis Jackson Dorrance
Address 4416 Nicole Cir, Tequesta, Florida
Phone Number 5616032788
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1467549105
Provider Enumeration Date 2006-10-06
Last Updated Date 2022-06-14

Provider Mailing Address Detail

Address 4416 Nicole Cir
City Tequesta
State Florida (FL)
Post Code 334692574
Phone Number 5616032788
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA 2335
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA 2335 FL STATE LICENCE NUMBER

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FAQs about Lewis Jackson Dorrance

What is the unique identifier code issued to Lewis Jackson Dorrance by the Centers for Medicare & Medicaid Services?

The Lewis Jackson Dorrance has been assigned the NPI (National Provider Identifier) 1467549105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lewis Jackson Dorrance?

The Lewis Jackson Dorrance is physically situated at 4416 Nicole Cir, in the city of Tequesta, state of FL, with the postal code 334692574.

What is Lewis Jackson Dorrance's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lewis Jackson Dorrance is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1467549105 to Lewis Jackson Dorrance?

The Lewis Jackson Dorrance received its 1467549105 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date were the Lewis Jackson Dorrance's details last updated?

The information pertaining to the Lewis Jackson Dorrance, including its address, specialty, and other details, was most recently updated on 2022-06-14.

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