# LEWIT WORRELL MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill ENT Care Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134317308
- **Authorized official:** DR. LEWIT A WORRELL M.D. (PRESIDENT)
- **Authorized official phone:** (909) 730-4261

## Contact information

- **Practice address:** 1334 W COVINA BLVD, SUITE 101, SAN DIMAS, CA 91773-3211
- **Practice address phone:** (909) 599-6611
- **Practice address fax:** (909) 599-8390
- **Mailing address:** PO BOX 2728, COVINA, CA 91722-8728
- **Mailing address phone:** (909) 730-4261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | A67787 | CA | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 07/10/2008