Healthcare Provider Details

I. General information

NPI: 1699946418
Provider Name (Legal Business Name): TONI-ANN LEWIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 S LEXINGTON ST
DELANO CA
93215-3693
US

IV. Provider business mailing address

323 S LEXINGTON ST
DELANO CA
93215-3693
US

V. Phone/Fax

Practice location:
  • Phone: 661-725-2512
  • Fax: 661-725-2586
Mailing address:
  • Phone: 661-725-2512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License Number510334
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: