Lewis, Jacoreon

Lewis, Jacoreon is an individual health care provider with primary practice located at 4306 S Grand St , Monroe LA 71202-6322. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Lewis, Jacoreon can be contacted via phone (913) 220-3153.

Contact Information

Primary practice address
4306 S Grand St Monroe LA 71202-6322
Phone: (913) 220-3153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1881234011
LBN Legal business name Lewis, Jacoreon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2020
Last updated Feb 3rd, 2020 - about 5 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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