Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 43042 | AZ |
N | 207V00000X | Obstetrician & Gynecologist | A98062 | CA |
N | 207VX0000X | Obstetrician | A98062 | CA |
N | 208D00000X | General Practice Physician | 43042 | AZ |
NPI | 1225239494 |
---|---|
Provider Name | Dr. Lela Rachelle Gilbert Lewis |
First Address | Chandler, AZ 85224-6273 |
Second Address | Tempe, AZ 85283-3394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 16/08/2021 |