Individual
HARRIETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
Mailing address
6357 NANCY ST, LOS ANGELES, CA 90045-1235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G61865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G618650
—
CA
Enumeration date
07/26/2006
Last updated
02/26/2008
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