Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G52148 | CA |
N | 2080P0214X | Pediatric Pulmonologist | G52148 | CA |
NPI | 1245272368 |
---|---|
Provider Name | Dr. Nancy C. Lewis |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 22/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G521480 | (05) | CA |
A52179 | (02) | CA |