Individual
ALLISON NICOLE LEWIS
Active
Individual
ALLISON NICOLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
65550
CA
207N00000X
Dermatology Physician
9388
AZ
363A00000X
Physician Assistant
65550
CA
Other
Enumeration date
10/04/2022
Last updated
03/24/2026
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