JENNIFER ANNE COOPER-LEWIS

SPRINGFIELD, MO
NPI1720228950
Former NameJENNIFER ANNE COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2015015950)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207P00000X Emergency Medicine
(Licence: GA  068394)
Enumeration Date2009-02-27
Last Update Date2015-12-02
Business Address
-- JENNIFER ANNE COOPER-LEWIS D.O.
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2115
Mailing Address
-- JENNIFER ANNE COOPER-LEWIS D.O.
PO BOX 504274
SAINT LOUIS, MO 63150-4274
Phone number: 417-829-4620