Individual
DR. CHARLES L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8318 UNIVERSITY AVE, SUITE A5, LA MESA, CA 91942-3865
(619) 579-2187
(619) 579-2187
Mailing address
8318 UNIVERSITY AVE, SUITE A5, LA MESA, CA 91942-3865
(619) 579-2187
(619) 579-2187
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C33286
CA
Other
Enumeration date
07/06/2006
Last updated
08/03/2010
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