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Organization

WILLIAM R. LEWIS, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM R. LEWIS M.D. (PRESIDENT)
(831) 624-8713
Entity
Organization

Contact information

Practice address
757 PACIFIC ST STE D1, MONTEREY, CA 93940-2819
(831) 624-8713
(831) 624-5751
Mailing address
PO BOX 1483, PEBBLE BEACH, CA 93953-1483
(831) 624-8713
(831) 624-5751

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C232610
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376636233
TYPE 1 - INDIVIDUAL NPI NUMBER
CA
01
ZZZ07386Z
MEDICARE PTAN
CA
Enumeration date
04/23/2008
Last updated
11/04/2008
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