Individual
ALEX ANTWAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4025 W 226TH ST, TORRANCE, CA 90505-2340
(310) 373-4556
Mailing address
4197 4TH AVE, LOS ANGELES, CA 90008-3901
(562) 989-0537
(562) 989-0573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
11/10/2020
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