NPI 1710050547

Jerry Lewis, MSATCEMTA

Practitioner Other Technician Lancaster, CA

Practice location

Address: 3041 W Avenue K, Lancaster, CA 93536-5402
Phone: (661) 722-6446

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in California →

Registry record

NPI: 1710050547
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2006
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.