Individual
DR. CHARLES LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
Mailing address
9033 RIDGEVIEW CIR W, UNIVERSITY PLACE, WA 98466-1334
(253) 460-2788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00025718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188140
LABOR & INDUSTRIES
WA
01
—
1355LE
REGENCE
WA
05
—
8249617
—
WA
Enumeration date
07/12/2006
Last updated
07/08/2007
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