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General NPI Number Information
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NPI Number | 1760463194
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Entity Type | Individual
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Provider Name | LINDA K LEWIS MD
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Gender | Female
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 6920 CORTE LANGOSTA
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City | CARLSBAD
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State | CA
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Zip | 92009-6094
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Country | US
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Telephone | 216-255-5700
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Fax | 216-255-5701
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Provider Business Mailing Address
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Address Line | 23625 COMMERCE PARK SUITE 204
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-255-5701
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Fax | 216-255-5701
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | G50433
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G50433
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License Number State | CA
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