Individual
BEVERLY J LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4001 W ALAMEDA AVE STE 101, BURBANK, CA 91505-4338
(818) 841-0066
(818) 841-2141
Mailing address
4001 W ALAMEDA AVE STE 101, BURBANK, CA 91505-4338
(818) 841-0066
(818) 841-2141
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1187 & HA2614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000310
—
CA
01
—
ZZZ29947Z
BLUE SHIELD
CA
01
—
ZZZ57911Z
BLUE SHIELD
CA
Enumeration date
04/19/2007
Last updated
10/09/2007
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