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NPI Code Detail

MEDICARE: DR. MICHAEL S LEWIS M.D.

MEDICARE: DR. MICHAEL S LEWIS M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician237025NY
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA102134CA

General Provider Information

NPI Number : 1306047139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL S LEWIS M.D.
Provider Business Mailing Address
First Line : 11301 WILSHIRE BLVD RM 1256
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-478-3711
Fax Number :
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD RM 1256
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-478-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 06/22/2024

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Directions to “ DR. MICHAEL S LEWIS M.D.” Practice Location

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