IndividualActive
Jackson Lewison
NPI 1609723758 · Surgical Physician Assistant · Winona, MN
Provider details
- NPI number
- 1609723758
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
855 Mankato Ave
Winona, MN 55987-4868
Phone: (507) 454-3650
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Badger St
La Crosse, WI 54601-1502
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.