Individual
DR. CHARLES LAMAR LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9900 LINCOLN ST 2ND FLOOR, TACOMA, WA 98431-1100
(253) 968-4079
Mailing address
9900 LINCOLN ST 2ND FLOOR, TACOMA, WA 98431-1100
(253) 968-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857948
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/29/2018
Last updated
07/17/2019
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