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Jacquetta Lewis
NPI 1962134874 · on the registry since 2022 · sole proprietor
Practice
- Address
- 413 Old Duneland Pkwy
Gary, IN 46403 - Phone
- (312) 682-4213
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana