Individual
GREGORY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8162 SOMERDALE LN, LA PALMA, CA 90623-1936
(714) 809-4422
Mailing address
PO BOX 1275, CYPRESS, CA 90630-6275
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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