Basic Information
| Provider Information | |||||||||
| NPI: | 1477972479 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEWIS | ||||||||
| FirstName: | JAIME | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 906 GROFFTOWN RD | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176022530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175799134 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1138 GEORGETOWN RD | ||||||||
| Address2: | |||||||||
| City: | CHRISTIANA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175099720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177864010 | ||||||||
| FaxNumber: | 7177864011 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2014 | ||||||||
| LastUpdateDate: | 04/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | MW010340 | PA | Y | Other Service Providers | Midwife |
No ID Information.