MR. PETER WALLACE LEWIS PA-C NPI 1205932944

NPI Information

NPI: 1205932944
Provider Name: MR. PETER WALLACE LEWIS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
6294 STATE HIGHWAY 154
SESSER, IL
ZIP 62884
Phone: (618) 625-6979
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MR. Peter Wallace Lewis, PA-C is a surgical physician assistant in Sesser, IL. MR. Peter Wallace Lewis, PA-C NPI is 1205932944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6294 STATE HIGHWAY 154
SESSER, IL
ZIP 62884-163
Phone: (618) 625-6979

The enumeration date for this NPI number is 9/16/2006 and was last updated on 1/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA01533	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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