Individual
CATHERINE DAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2081 BRONZE STAR DR, WOODLAND, CA 95776-5423
(530) 668-2600
(530) 661-1081
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010162
—
CA
Enumeration date
01/29/2007
Last updated
02/11/2019
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