Individual
MICHAEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4024 32ND ST APT 11, SAN DIEGO, CA 92104-2051
(619) 288-1769
Mailing address
4024 32ND ST APT 11, SAN DIEGO, CA 92104-2051
(619) 288-1769
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
About Stedi
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