Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | ||
Y | 176B00000X | Midwife | LM429 | CA |
NPI | 1568855187 |
---|---|
Provider Name | Cristi Lewis |
First Address | Fallbrook, CA 92028-4615 |
Second Address | Fallbrook, CA 92028-3079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2015 |
Last Update Date | 05/03/2015 |