Search › Massachusetts › 101YA0400X
Jacob Lewis, LADC-1
NPI 1629853940 · on the registry since 2023 · sole proprietor
Practice
- Address
- 26 Keene St
Stoneham, MA 02180 - Phone
- (781) 223-6896
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts