Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 18039-875 | WI |
N | 2084N0402X | Child Neurologist | 18039-875 | WI |
Y | 2084N0402X | Child Neurologist | 84550 | SC |
NPI | 1205985751 |
---|---|
Provider Name | Dr. Dalila Lewis |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-3505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 27/10/2020 |