Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jerry Lewis, MS, ATC, EMT--1A

Individual provider Other Technician · NPI 1710050547

Mr. Jerry Lewis, MS, ATC, EMT--1A is an Other Technician in Lancaster, California. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3041 W Avenue K
Lancaster, CA 93536-5402
Phone: (661) 722-6446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1710050547
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , EMT--1A
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 8, 2007

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