National Provider Identifier

Jovan Lewis

Jovan Lewis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 715-5439.

NPI 1609221159Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1609221159
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 03, 2016
Last Updated
May 03, 2016

Practice Location

  • 15 Parkview Ter
  • Cheektowaga, NY 14225-4009

Phone: (716) 715-5439

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1609221159
Entity Type
Individual
Last Name
Lewis
First Name
Jovan
Mailing Street Address
15 Parkview Ter
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4009
Mailing Country
US
Mailing Phone
(716) 715-5439
Practice Street Address
15 Parkview Ter
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4009
Practice Country
US
Practice Phone
(716) 715-5439
Enumeration Date
May 03, 2016
Last Updated
May 03, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)