Provider Demographics
NPI:1497574818
Name:JACKSON AND LEWIS LLC
Entity type:Organization
Organization Name:JACKSON AND LEWIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:CLINTON
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,RN
Authorized Official - Phone:913-953-2790
Mailing Address - Street 1:909 S DIANE DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5125
Mailing Address - Country:US
Mailing Address - Phone:913-953-2790
Mailing Address - Fax:
Practice Address - Street 1:909 S DIANE DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5125
Practice Address - Country:US
Practice Address - Phone:913-953-2790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)