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General NPI Number Information
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NPI Number | 1679930689
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Entity Type | Individual
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Provider Name | ANDREW JAMES LEWIS JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 1560 CAPITAL CIR NW UNIT 19
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City | TALLAHASSEE
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State | FL
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Zip | 32303-1312
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Country | US
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Telephone | 850-597-0322
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 180213
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City | TALLAHASSEE
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State | FL
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Zip | 32318-0002
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Country | US
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Telephone | 850-597-0322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11748
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License Number State | FL
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