MEDICARE: DR. LELA RACHELLE GILBERT LEWIS M.D., M.P.H., FACOG

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	207V00000X	Obstetrics & Gynecology Physician	A98062	CA
2	207VX0000X	Obstetrics Physician	A98062	CA
3	208D00000X	General Practice Physician	43042	AZ
4	207V00000X	Obstetrics & Gynecology Physician	43042	AZ

General Provider Information

NPI Number	:	1225239494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LELA RACHELLE GILBERT LEWIS M.D., M.P.H., FACOG

Provider Business Mailing Address
First Line	:	2545 W FRYE RD STE 9
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6273
Country	:	US
Telephone Number	:	480-505-4258
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 S MCCLINTOCK DR STE 215
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3394
Country	:	US
Telephone Number	:	480-820-6657
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	08/16/2021

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