Individual
LINDA A LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5260 S FIGUEROA ST, 110, LOS ANGELES, CA 90037-3743
(323) 230-7453
(323) 230-8584
Mailing address
5260 S FIGUEROA ST, 110, LOS ANGELES, CA 90037-3743
(323) 230-7453
(323) 230-8584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10179
CA
363AM0700X
Medical Physician Assistant
Primary
PA10179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10179
PHYSICIAN ASSISTANT COMMITTEE, MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/17/2008
Last updated
06/17/2008
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