Individual
DR. BENJAMIN MARK LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
Mailing address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5160
CA
213ES0131X
Foot Surgery Podiatrist
E5160
CA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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