Individual
MRS. BRIDGETT LOUISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 HUSSEY RD, SEAL BEACH, CA 90740-5787
(502) 689-7478
Mailing address
111 HUSSEY RD, SEAL BEACH, CA 90740-5787
(502) 689-7478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95038945
CA
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
09/26/2014
Last updated
05/26/2016
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