NPI

Lajarvis Antwon Lewis

NPI 1487271201

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP
Type
Individual
Enumeration date
2020-06-26
Last updated
2020-06-26

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Specialties

Licenses

License MS
903985

Location

Practice location
840 N Oak Ave
City
Ruleville MS
Postal code
38771-3227
Phone
(662) 756-4024

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Ruleville, MS. 80 records in the public file.

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