Individual
DR. DANIEL GENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1971 RIGGS RD, LAKEPORT, CA 95453-8736
(707) 533-9177
Mailing address
1971 RIGGS ROAD, LAKEPORT, CA 95453
(707) 533-9177
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DL054034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102779090
—
MI
Enumeration date
06/06/2006
Last updated
09/14/2017
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