Individual
CHRISTINA LUCILLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
5528 ROCK TREE DR, AGOURA HILLS, CA 91301-3331
(818) 217-5263
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95020183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95020183
NPF
CA
Enumeration date
03/31/2022
Last updated
03/31/2022
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