JACK LEWIS

LAFAYETTE, LA
NPI1881168789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-01-14
Last Update Date2019-01-14
Business Address
JACK LEWIS
201 REINHARDT DR
LAFAYETTE, LA 70506-4252
Phone number: 800-563-8000
Mailing Address
JACK LEWIS
913 PINECONE DR
MODESTO, CA 95351-1878
Phone number:
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