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1598748923

NPI Code Detail

MEDICARE: JACQUELINE CELINA DRUMMOND-LEWIS MD

MEDICARE: JACQUELINE CELINA DRUMMOND-LEWIS MD

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
1	207L00000X	Anesthesiology Physician	50275	AZ
2	207L00000X	Anesthesiology Physician	A96586	CA
3	207L00000X	Anesthesiology Physician	040282	CT
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	50275	AZ
5	208VP0000X	Pain Medicine Physician	50275	AZ
6	208VP0014X	Interventional Pain Medicine Physician	50275	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598748923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE CELINA DRUMMOND-LEWIS MD

Provider Business Mailing Address
First Line	:	PO BOX 7096
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95267-0096
Country	:	US
Telephone Number	:	209-956-7725
Fax Number	:	209-956-7733

Provider Business Practice Location Address
First Line	:	2735 SILVER CREEK ROAD
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7942
Country	:	US
Telephone Number	:	928-763-2273
Fax Number	:	928-763-0223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	03/17/2018

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Directions to “ JACQUELINE CELINA DRUMMOND-LEWIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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