Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 14-1422 | AZ |
NPI | 1023197472 |
---|---|
Provider Name | Dr. Danielle Lewis |
First Address | Phoenix, AZ 85006-1136 |
Second Address | Phoenix, AZ 85006-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14-1422 | NATUROPATHIC PHYSICIAN (01) | AZ |
8364A | PTA (01) | AZ |