Lewis, Andrea

Lewis, Andrea is an individual health care provider with primary practice located at 2500 N State St Department Of Otolaryngology, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Lewis, Andrea can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Department Of Otolaryngology Jackson MS 39216-4500
Phone: (601) 984-5160
Fax: (601) 815-6985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 19548 Mississippi

Profile Details

NPI number 1720207509
LBN Legal business name Lewis, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Oct 20th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720207509 NPPES
Alabama MEDICAID 175226

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