MEDICARE: DR. CHRISTINE SUE LEWIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5624	OR
2	111N00000X	Chiropractor	60963128	WA

General Provider Information

NPI Number	:	1689067001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE SUE LEWIS D.C.

Provider Business Mailing Address
First Line	:	4304 OCEAN BEACH HWY
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-4826
Country	:	US
Telephone Number	:	360-562-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	4304 OCEAN BEACH HWY
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-4826
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	05/21/2024

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