| Jawaun Michael Lewis Do Pc | |
|
3280 Marshall Avenue Norman OK 73072-8028 | |
| (405) 579-5858 | |
| (405) 292-1787 |
| Full Name | Jawaun Michael Lewis Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3280 Marshall Avenue, Norman, Oklahoma |
| Authorized Official Name and Position | Jawaun Michael Lewis (OWNER) |
| Authorized Official Contact | 4055795858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jawaun Michael Lewis Do Pc 3280 Marshall Avenue Norman OK 73072-8028 Ph: (405) 579-5858 | Jawaun Michael Lewis Do Pc 3280 Marshall Avenue Norman OK 73072-8028 Ph: (405) 579-5858 |
| NPI Number | 1356501019 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 09/28/2010 |
| Medicare PECOS PAC ID | 1052466828 |
|---|---|
| Medicare Enrollment ID | O20090831000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356501019 | NPI | - | NPPES |
| 200034410B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4092 (Oklahoma) | Primary |
| Provider Name | Jawaun M Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922150531 PECOS PAC ID: 7315919222 Enrollment ID: I20040811000468 |
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