IndividualActive
Jimmy Lewis
NPI 1922632207 · Driver · Watts, OK
Provider details
- NPI number
- 1922632207
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
399 Tillery Ln
Watts, OK 74964-5072
Phone: (918) 422-0028
Fax: (918) 422-0027
Mailing address
Po Box 241
Siloam Springs, AR 72761-0241
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2020-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.