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NPI Code Detail

MEDICARE: MRS. RENEE F. LEWIS LMFT

MEDICARE:  MRS. RENEE F. LEWIS  LMFT
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
1106H00000XMarriage & Family TherapistMFT 18434CA

General Provider Information

NPI Number : 1063445815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RENEE F. LEWIS LMFT
Provider Business Mailing Address
First Line : PO BOX 2851
Second Line :
City : LAKE ARROWHEAD
State : CA
Zip : 92352-2851
Country : US
Telephone Number : 909-336-3252
Fax Number : 909-336-3023
Provider Business Practice Location Address
First Line : 28011 STATE HWY 189
Second Line : SUITE 100
City : LAKE ARROWHEAD
State : CA
Zip : 92352-2851
Country : US
Telephone Number : 909-336-3252
Fax Number : 909-336-3023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 01/24/2011

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Directions to “ MRS. RENEE F. LEWIS LMFT” Practice Location

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