MEDICARE: MS. NATALIE ELENA LEWIS L.AC

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	171100000X	Acupuncturist	11130	CA

General Provider Information

NPI Number	:	1871618579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE ELENA LEWIS L.AC

Provider Business Mailing Address
First Line	:	8549 WILSHIRE BLVD
Second Line	:	#1447
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3104
Country	:	US
Telephone Number	:	323-653-3344
Fax Number	:	323-653-9613

Provider Business Practice Location Address
First Line	:	8549 WILSHIRE BLVD
Second Line	:	#1447
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3104
Country	:	US
Telephone Number	:	323-653-3344
Fax Number	:	323-653-9613

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	03/11/2016

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