Individual
ZACHARY R LEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1194 MONTGOMERY DR, SANTA ROSA, CA 95405-4802
(707) 303-1714
Mailing address
1194 MONTGOMERY DR, SANTA ROSA, CA 95405-4802
(707) 303-1714
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35-084645
OH
2084N0400X
Neurology Physician
Primary
C55988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341686
ANTHEM BLUECROSS/BLUESHEI
OH
01
—
108873
KAISER
OH
05
—
2534832
—
OH
01
—
341097565ZL
SUMMACARE
OH
01
—
729710
BUCKEYE COMMUNITY HEALTH
OH
01
—
P00180585
RAILROAD MEDICARE
OH
Enumeration date
04/06/2006
Last updated
11/05/2021
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