Individual
MR. MARK BENTON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 442-7824
(323) 442-8009
Mailing address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 442-7824
(323) 442-8009
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A188704
CA
Other
Enumeration date
04/14/2021
Last updated
01/15/2025
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