| Organization Name: | LEWJACK ASSISTING LLC |
| NPI Number: | 1538488846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEWIS J DORRANCE (PRES) |
| Mailing Address: | 4416 Nicole Cir Tequesta |
| State: | FL US |
| Postal Code: | 334692574 |
| Phone Number: | 5617437030 |
| Fax Number: | 5617437030 |
| NPI Enumeration Date: | 05/26/2010 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA 2335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |