Individual
CHARLES LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION, BROOKLYN, NY 11201-5425
(718) 250-6604
(718) 250-6605
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00025718
WA
Other
Enumeration date
06/13/2016
Last updated
06/12/2023
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