Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60331994 | WA |
NPI | 1902895816 |
---|---|
Provider Name | Cynthia M Lewis |
First Address | Seattle, WA 98124-1876 |
Second Address | Renton, WA 98055-5772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 02/12/2015 |