Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A72249 | CA |
NPI | 1063503050 |
---|---|
Provider Name | Sheryl Lynn Lewin |
First Address | Torrance, CA 90505-4720 |
Second Address | Torrance, CA 90505-4720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 13/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A722490 | (05) | CA |
I12158 | (02) | CA |