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Individual

WILLIAM LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2496 BAUER RD, SAN DIEGO, CA 92145-0001
(858) 307-9907
Mailing address
2496 BAUER RD, SAN DIEGO, CA 92145-0001

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0101258911
VA

Other

Enumeration date
04/23/2014
Last updated
07/21/2023
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