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NPI Code Detail

MEDICARE: JAMIE LEE LEWIS M.D.

MEDICARE: JAMIE LEE LEWIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianA83972CA
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianMD00048246WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00420371OTHERWARAILROAD MEDICARE

General Provider Information

NPI Number : 1073724290
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LEE LEWIS M.D.
Provider Business Mailing Address
First Line : PO BOX 112
Second Line :
City : SPOKANE
State : WA
Zip : 99210-0112
Country : US
Telephone Number : 509-464-6208
Fax Number : 888-316-1928
Provider Business Practice Location Address
First Line : 3124 S REGAL ST
Second Line :
City : SPOKANE
State : WA
Zip : 99223-4704
Country : US
Telephone Number : 509-464-6208
Fax Number : 888-316-1928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2007
Last Update Date : 02/11/2024

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Directions to “ JAMIE LEE LEWIS M.D.” Practice Location

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