Individual
MR. LEWIS WYATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8631 W 3RD ST, 1125 E, LOS ANGELES, CA 90048-5109
(310) 360-7430
(310) 360-7435
Mailing address
8631 W 3RD ST, 1125 E, LOS ANGELES, CA 90048-5109
(310) 360-7430
(310) 360-7435
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C32030
CA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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