NPI 1073633509

Lonas Edward Lewis, PAC

Practitioner Physician Assistant Valdosta, GA

Practice location

Address: 3251 Inner Perimeter Rd STE B, Valdosta, GA 31602-1026
Phone: (229) 259-0006
Fax: (229) 259-0803
Mailing address: 2618 Diana Cir, Tifton, GA 31794-1416

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3837 (GA)

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1073633509
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2007
Record last updated: 8 Jul 2007

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.