Individual
ANN J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D
Contact information
Practice address
710 LAWRENCE EXPY, HOMESTEAD MOB, DEPT 190; TPMG PEDIATRICS, SANTA CLARA, CA 95051-5173
(408) 851-9896
(408) 851-1199
Mailing address
710 LAWRENCE EXPY, HOMESTEAD MOB, DEPT 190; TPMG PEDIATRICS, SANTA CLARA, CA 95051-5173
(408) 851-9896
(408) 851-1199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A72730
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A72730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A727300
—
CA
Enumeration date
02/06/2007
Last updated
12/14/2021
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