CONNOR LEWELLEN

ORLANDO, FL
NPI1679279012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: FL  PA9117576)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-02-07
Last Update Date2024-02-05
Business Address
CONNOR LEWELLEN
7243 DELLA DR FL 3
ORLANDO, FL 32819-5104
Phone number: 321-843-5851
Mailing Address
CONNOR LEWELLEN
7243 DELLA DR
ORLANDO, FL 32819-5104
Phone number: 321-842-5851