| Doctor Name: | DR. JESSICA ANN LEWIS |
| NPI Number: | 1407167869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 0116022988 |
| Business Practice Address: | 1001 Pennsylvania Ave Ottumwa, IA - 525016427 |
| Business Phone Number: | 6416842530 |
| Business Fax Number: | |
| Mailing Address: | 1001 Pennsylvania Ave, OTTUMWA |
| State: | IA |
| Postal Code: | 525016427 |
| Phone Number: | 6416842530 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0116022988 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |