NPI 1124670112

Michael Lewis

Practitioner Driver San Diego, CA

Practice location

Address: 4024 32nd St APT 11, San Diego, CA 92104-2051
Phone: (619) 288-1769

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in California →

Registry record

NPI: 1124670112
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2019
Record last updated: 10 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.