Individual
CHRIS E LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 SYCAMORE AVE, SUITE 102, VISTA, CA 92081-7832
(760) 598-1700
(760) 598-1196
Mailing address
PO BOX 232410, SUITE 270, SAN DIEGO, CA 92193-2410
(760) 598-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PA129990
—
CA
Enumeration date
06/27/2006
Last updated
08/01/2016
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