NPI 1003857244

Lisa M Lewis, PAC

Practitioner Physician Assistant Marietta, GA

Practice location

Address: 4800 Olde Towne Pkwy STE 250, Marietta, GA 30068-4428
Phone: (770) 971-3376

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4105 (GA)

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Registry record

NPI: 1003857244
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2006
Record last updated: 30 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.