Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 15313 | CA |
NPI | 1437174927 |
---|---|
Provider Name | Dr. Lewis N Meltz |
First Address | El Dorado Hills, CA 95762-4292 |
Second Address | El Dorado Hills, CA 95762-4292 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 03/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T05710 | (02) | CA |