Individual
LISA KIM LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 7TH AVE, NEW YORK, NY 10011-6608
(646) 665-6000
Mailing address
75-59 263RD STREET, GLEN OAKS, NY 11004
(415) 600-3247
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
297981
NY
2084P0800X
Psychiatry Physician
A147127
CA
282N00000X
General Acute Care Hospital
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
04/13/2015
Last updated
11/27/2023
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