Individual
MANUEL DIAZ LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4799
(707) 269-4253
(707) 269-4253
Mailing address
1369 MARSH RD, EUREKA, CA 95501-1594
(605) 391-0030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A18972
CA
208M00000X
Hospitalist Physician
Primary
20A18972
CA
208M00000X
Hospitalist Physician
DO203809
OR
Other
Enumeration date
03/28/2018
Last updated
10/12/2021
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